Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.53 / $486.53 / $486.53	Professional		$486.53	$486.53	$486.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,501.46 / $2,501.46 / $2,501.46	Facility		$2,501.46	$2,501.46	$2,501.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $830.86 / $830.86 / $3,463.69	Professional		$830.86	$830.86	$3,463.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,148.81 / $3,297.18 / $3,297.18	Professional		$3,148.81	$3,297.18	$3,297.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,889.29 / $3,148.81 / $4,408.33	Professional		$1,889.29	$3,148.81	$4,408.33
United Facility/Professional Professional Modifier Low / Median / High Price $786.52 / $2,501.46 / $3,463.69	Professional		$786.52	$2,501.46	$3,463.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,377.09 / $2,536.48 / $2,997.09	Professional		$1,377.09	$2,536.48	$2,997.09