Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $755.88 / $755.88 / $786.42	Professional		$755.88	$755.88	$786.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,526.66 / $1,526.66 / $1,526.66	Facility		$1,526.66	$1,526.66	$1,526.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.60 / $840.60 / $2,113.91	Professional		$840.60	$840.60	$2,113.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,921.74 / $2,012.29 / $2,012.29	Professional		$1,921.74	$2,012.29	$2,012.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,153.04 / $1,921.74 / $2,690.44	Professional		$1,153.04	$1,921.74	$2,690.44
United Facility/Professional Professional Modifier Low / Median / High Price $960.82 / $1,526.66 / $2,113.91	Professional		$960.82	$1,526.66	$2,113.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $811.64 / $1,548.03 / $1,829.14	Professional		$811.64	$1,548.03	$1,829.14