Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.38 / $775.38 / $775.38	Professional		$775.38	$775.38	$775.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,662.71 / $2,662.71 / $2,662.71	Facility		$2,662.71	$2,662.71	$2,662.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,703.99 / $1,703.99 / $3,686.98	Professional		$1,703.99	$1,703.99	$3,686.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,351.80 / $3,509.74 / $3,509.74	Professional		$3,351.80	$3,509.74	$3,509.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,011.08 / $3,351.80 / $4,692.52	Professional		$2,011.08	$3,351.80	$4,692.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,738.82 / $2,662.71 / $4,180.43	Professional		$1,738.82	$2,662.71	$4,180.43
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,465.86 / $2,700.00 / $3,190.29	Professional		$1,465.86	$2,700.00	$3,190.29