Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.31 / $792.31 / $792.31	Professional		$792.31	$792.31	$792.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,170.01 / $2,170.01 / $2,170.01	Facility		$2,170.01	$2,170.01	$2,170.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,207.09 / $1,207.09 / $3,004.75	Professional		$1,207.09	$1,207.09	$3,004.75
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,731.59 / $2,860.30 / $2,860.30	Professional		$2,731.59	$2,860.30	$2,860.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,638.95 / $2,731.59 / $3,824.23	Professional		$1,638.95	$2,731.59	$3,824.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,144.33 / $2,170.01 / $3,004.75	Professional		$1,144.33	$2,170.01	$3,004.75
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,194.60 / $2,200.40 / $2,599.96	Professional		$1,194.60	$2,200.40	$2,599.96