Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $778.65 / $778.65 / $778.65	Professional		$778.65	$778.65	$778.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,164.04 / $3,164.04 / $3,164.04	Facility		$3,164.04	$3,164.04	$3,164.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,499.97 / $1,499.97 / $4,381.14	Professional		$1,499.97	$1,499.97	$4,381.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,982.86 / $4,170.53 / $4,170.53	Professional		$3,982.86	$4,170.53	$4,170.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,389.71 / $3,982.86 / $5,576.00	Professional		$2,389.71	$3,982.86	$5,576.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,746.16 / $3,164.04 / $4,381.14	Professional		$1,746.16	$3,164.04	$4,381.14
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,741.85 / $3,208.35 / $3,790.95	Professional		$1,741.85	$3,208.35	$3,790.95