Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.50 / $839.50 / $839.50	Professional		$839.50	$839.50	$839.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,193.19 / $2,193.19 / $2,193.19	Facility		$2,193.19	$2,193.19	$2,193.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.51 / $1,172.51 / $3,036.88	Professional		$1,172.51	$1,172.51	$3,036.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,760.80 / $2,890.89 / $2,890.89	Professional		$2,760.80	$2,890.89	$2,890.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,656.48 / $2,760.80 / $3,865.12	Professional		$1,656.48	$2,760.80	$3,865.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,432.54 / $2,733.19 / $3,036.88	Professional		$1,432.54	$2,733.19	$3,036.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,207.38 / $2,223.92 / $2,627.77	Professional		$1,207.38	$2,223.92	$2,627.77