Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.20 / $456.20 / $456.20	Professional		$456.20	$456.20	$456.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,134.42 / $2,134.42 / $2,134.42	Facility		$2,134.42	$2,134.42	$2,134.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $837.35 / $837.35 / $2,955.47	Professional		$837.35	$837.35	$2,955.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,686.79 / $2,813.39 / $2,813.39	Professional		$2,686.79	$2,813.39	$2,813.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,612.07 / $2,686.79 / $3,761.51	Professional		$1,612.07	$2,686.79	$3,761.51
United Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $856.00 / $856.00	Facility		$856.00	$856.00	$856.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.05 / $2,134.42 / $2,955.47	Professional		$1,023.05	$2,134.42	$2,955.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,175.03 / $2,164.31 / $2,557.33	Professional		$1,175.03	$2,164.31	$2,557.33