Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.38 / $505.38 / $505.38	Professional		$505.38	$505.38	$505.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,544.83 / $2,544.83 / $2,544.83	Facility		$2,544.83	$2,544.83	$2,544.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,149.77 / $1,149.77 / $3,523.76	Professional		$1,149.77	$1,149.77	$3,523.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,203.42 / $3,354.37 / $3,354.37	Professional		$3,203.42	$3,354.37	$3,354.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,922.05 / $3,203.42 / $4,484.79	Professional		$1,922.05	$3,203.42	$4,484.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,133.33 / $2,544.83 / $3,523.76	Professional		$1,133.33	$2,544.83	$3,523.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,400.97 / $2,580.46 / $3,049.06	Professional		$1,400.97	$2,580.46	$3,049.06