Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.69 / $585.69 / $585.69	Professional		$585.69	$585.69	$585.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,610.51 / $2,610.51 / $2,610.51	Facility		$2,610.51	$2,610.51	$2,610.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,212.63 / $1,212.63 / $3,614.69	Professional		$1,212.63	$1,212.63	$3,614.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,286.08 / $3,440.92 / $3,440.92	Professional		$3,286.08	$3,440.92	$3,440.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,971.65 / $3,286.08 / $4,600.51	Professional		$1,971.65	$3,286.08	$4,600.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,313.43 / $2,610.51 / $3,614.69	Professional		$1,313.43	$2,610.51	$3,614.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,437.13 / $2,647.07 / $3,127.74	Professional		$1,437.13	$2,647.07	$3,127.74