Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $804.89 / $804.89 / $804.89	Professional		$804.89	$804.89	$804.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,724.18 / $2,724.18 / $2,724.18	Facility		$2,724.18	$2,724.18	$2,724.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,549.06 / $1,549.06 / $3,772.07	Professional		$1,549.06	$1,549.06	$3,772.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,429.15 / $3,590.73 / $3,590.73	Professional		$3,429.15	$3,590.73	$3,590.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,057.48 / $3,429.15 / $4,800.81	Professional		$2,057.48	$3,429.15	$4,800.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,796.27 / $2,724.18 / $3,772.07	Professional		$1,796.27	$2,724.18	$3,772.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,499.70 / $2,762.32 / $3,263.92	Professional		$1,499.70	$2,762.32	$3,263.92