Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.00 / $625.00 / $625.00	Professional		$625.00	$625.00	$625.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,039.92 / $2,039.92 / $2,039.92	Facility		$2,039.92	$2,039.92	$2,039.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,395.53 / $2,824.62 / $2,824.62	Professional		$1,395.53	$2,824.62	$2,824.62
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,567.84 / $2,688.84 / $2,688.84	Professional		$2,567.84	$2,688.84	$2,688.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,540.70 / $2,567.84 / $3,594.98	Professional		$1,540.70	$2,567.84	$3,594.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,361.71 / $2,039.92 / $2,824.62	Professional		$1,361.71	$2,039.92	$2,824.62
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,123.00 / $2,068.48 / $2,444.11	Professional		$1,123.00	$2,068.48	$2,444.11