Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $948.75 / $948.75 / $948.75	Professional		$948.75	$948.75	$948.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,157.19 / $2,157.19 / $2,157.19	Facility		$2,157.19	$2,157.19	$2,157.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,306.07 / $1,306.07 / $2,987.02	Professional		$1,306.07	$1,306.07	$2,987.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,715.47 / $2,843.42 / $2,843.42	Professional		$2,715.47	$2,843.42	$2,843.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,629.28 / $2,715.47 / $3,801.66	Professional		$1,629.28	$2,715.47	$3,801.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,323.20 / $2,157.19 / $2,987.02	Professional		$1,323.20	$2,157.19	$2,987.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,187.56 / $2,187.41 / $2,584.63	Professional		$1,187.56	$2,187.41	$2,584.63