Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.26 / $390.26 / $390.26	Professional		$390.26	$390.26	$390.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,672.79 / $1,672.79 / $1,672.79	Facility		$1,672.79	$1,672.79	$1,672.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $711.81 / $711.81 / $2,316.26	Professional		$711.81	$711.81	$2,316.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,105.69 / $2,204.91 / $2,204.91	Professional		$2,105.69	$2,204.91	$2,204.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,263.41 / $2,105.69 / $2,947.97	Professional		$1,263.41	$2,105.69	$2,947.97
United Facility/Professional Professional Modifier Low / Median / High Price $823.26 / $1,672.79 / $2,316.26	Professional		$823.26	$1,672.79	$2,316.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,696.22 / $1,754.35 / $2,004.23	Professional		$1,696.22	$1,754.35	$2,004.23