Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.82 / $472.82 / $472.82	Professional		$472.82	$472.82	$472.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,750.75 / $1,750.75 / $1,750.75	Facility		$1,750.75	$1,750.75	$1,750.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.83 / $740.83 / $2,424.21	Professional		$740.83	$740.83	$2,424.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,203.83 / $2,307.67 / $2,307.67	Professional		$2,203.83	$2,307.67	$2,307.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,322.30 / $2,203.83 / $3,085.36	Professional		$1,322.30	$2,203.83	$3,085.36
United Facility/Professional Professional Modifier Low / Median / High Price $795.24 / $1,750.75 / $2,424.21	Professional		$795.24	$1,750.75	$2,424.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $963.82 / $1,775.28 / $2,097.64	Professional		$963.82	$1,775.28	$2,097.64