Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.01 / $528.01 / $528.01	Professional		$528.01	$528.01	$528.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.14 / $1,232.14 / $1,232.14	Facility		$1,232.14	$1,232.14	$1,232.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,115.23 / $1,115.23 / $1,706.10	Professional		$1,115.23	$1,115.23	$1,706.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,551.00 / $1,624.08 / $1,624.08	Professional		$1,551.00	$1,624.08	$1,624.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $930.60 / $1,551.00 / $2,171.40	Professional		$930.60	$1,551.00	$2,171.40
United Facility/Professional Professional Modifier Low / Median / High Price $941.35 / $1,180.36 / $1,706.10	Professional		$941.35	$1,180.36	$1,706.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,036.34 / $1,292.21 / $1,476.27	Professional		$1,036.34	$1,292.21	$1,476.27