Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.45 / $828.45 / $828.45	Professional		$828.45	$828.45	$828.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,536.94 / $2,536.94 / $2,536.94	Facility		$2,536.94	$2,536.94	$2,536.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,638.80 / $3,512.83 / $3,512.83	Professional		$1,638.80	$3,512.83	$3,512.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,193.48 / $3,343.96 / $3,343.96	Professional		$3,193.48	$3,343.96	$3,343.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,916.09 / $3,193.48 / $4,470.87	Professional		$1,916.09	$3,193.48	$4,470.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,216.04 / $1,216.04 / $1,216.04	Facility		$1,216.04	$1,216.04	$1,216.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,857.84 / $2,536.94 / $3,512.83	Professional		$1,857.84	$2,536.94	$3,512.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,396.62 / $2,572.46 / $3,039.60	Professional		$1,396.62	$2,572.46	$3,039.60