Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.62 / $685.62 / $685.62	Professional		$685.62	$685.62	$685.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,890.65 / $2,890.65 / $2,890.65	Facility		$2,890.65	$2,890.65	$2,890.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,544.16 / $1,544.16 / $4,002.60	Professional		$1,544.16	$1,544.16	$4,002.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,638.73 / $3,810.19 / $3,810.19	Professional		$3,638.73	$3,810.19	$3,810.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,183.23 / $3,638.73 / $5,094.22	Professional		$2,183.23	$3,638.73	$5,094.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,537.52 / $2,890.65 / $4,002.60	Professional		$1,537.52	$2,890.65	$4,002.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,591.34 / $2,931.13 / $3,463.40	Professional		$1,591.34	$2,931.13	$3,463.40