Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.08 / $430.08 / $430.08	Professional		$430.08	$430.08	$430.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.42 / $1,238.42 / $1,238.42	Facility		$1,238.42	$1,238.42	$1,238.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,014.49 / $1,014.49 / $1,714.80	Professional		$1,014.49	$1,014.49	$1,714.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,558.91 / $1,632.37 / $1,632.37	Professional		$1,558.91	$1,632.37	$1,632.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $935.35 / $1,558.91 / $2,182.46	Professional		$935.35	$1,558.91	$2,182.46
United Facility/Professional Professional Modifier Low / Median / High Price $964.47 / $1,238.42 / $1,714.80	Professional		$964.47	$1,238.42	$1,714.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,255.76 / $1,298.79 / $1,483.79	Professional		$1,255.76	$1,298.79	$1,483.79