Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.78 / $850.78 / $850.78	Professional		$850.78	$850.78	$850.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,049.79 / $2,049.79 / $2,049.79	Facility		$2,049.79	$2,049.79	$2,049.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,399.15 / $1,399.15 / $2,838.29	Professional		$1,399.15	$1,399.15	$2,838.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,580.26 / $2,701.84 / $2,701.84	Professional		$2,580.26	$2,701.84	$2,701.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.16 / $2,580.26 / $3,612.36	Professional		$1,548.16	$2,580.26	$3,612.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,281.23 / $2,049.79 / $2,838.29	Professional		$1,281.23	$2,049.79	$2,838.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,128.44 / $2,078.48 / $2,455.94	Professional		$1,128.44	$2,078.48	$2,455.94