Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.65 / $438.65 / $438.65	Professional		$438.65	$438.65	$438.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,003.56 / $2,003.56 / $2,003.56	Facility		$2,003.56	$2,003.56	$2,003.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $714.02 / $714.02 / $2,774.27	Professional		$714.02	$714.02	$2,774.27
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,522.06 / $2,640.90 / $2,640.90	Professional		$2,522.06	$2,640.90	$2,640.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.24 / $2,522.06 / $3,530.88	Professional		$1,513.24	$2,522.06	$3,530.88
United Facility/Professional Professional Modifier Low / Median / High Price $798.42 / $2,003.56 / $2,774.27	Professional		$798.42	$2,003.56	$2,774.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,102.99 / $2,031.62 / $2,400.54	Professional		$1,102.99	$2,031.62	$2,400.54