Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.27 / $501.27 / $501.27	Professional		$501.27	$501.27	$501.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,546.74 / $1,546.74 / $1,546.74	Facility		$1,546.74	$1,546.74	$1,546.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $755.39 / $755.39 / $2,141.69	Professional		$755.39	$755.39	$2,141.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,947.00 / $2,038.74 / $2,038.74	Professional		$1,947.00	$2,038.74	$2,038.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,168.20 / $1,947.00 / $2,725.80	Professional		$1,168.20	$1,947.00	$2,725.80
United Facility/Professional Professional Modifier Low / Median / High Price $922.91 / $1,546.74 / $2,141.69	Professional		$922.91	$1,546.74	$2,141.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $851.50 / $1,568.39 / $1,853.19	Professional		$851.50	$1,568.39	$1,853.19