Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $834.53 / $834.53 / $834.53	Professional		$834.53	$834.53	$834.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,015.11 / $2,015.11 / $2,015.11	Facility		$2,015.11	$2,015.11	$2,015.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,618.14 / $1,618.14 / $2,790.26	Professional		$1,618.14	$1,618.14	$2,790.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,536.60 / $2,656.12 / $2,656.12	Professional		$2,536.60	$2,656.12	$2,656.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,521.96 / $2,536.60 / $3,551.24	Professional		$1,521.96	$2,536.60	$3,551.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,683.80 / $2,015.11 / $2,790.26	Professional		$1,683.80	$2,015.11	$2,790.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,043.33 / $2,113.36 / $2,414.38	Professional		$2,043.33	$2,113.36	$2,414.38