Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.36 / $720.36 / $720.36	Professional		$720.36	$720.36	$720.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,508.83 / $1,508.83 / $1,508.83	Facility		$1,508.83	$1,508.83	$1,508.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,006.48 / $2,089.23 / $2,089.23	Professional		$1,006.48	$2,089.23	$2,089.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,899.30 / $1,988.80 / $1,988.80	Professional		$1,899.30	$1,988.80	$1,988.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,139.58 / $1,899.30 / $2,659.02	Professional		$1,139.58	$1,899.30	$2,659.02
United Facility/Professional Professional Modifier Low / Median / High Price $954.14 / $1,508.83 / $2,089.23	Professional		$954.14	$1,508.83	$2,089.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $830.63 / $1,529.96 / $1,807.79	Professional		$830.63	$1,529.96	$1,807.79