Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.75 / $604.75 / $604.75	Professional		$604.75	$604.75	$604.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,754.63 / $1,754.63 / $1,754.63	Facility		$1,754.63	$1,754.63	$1,754.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $832.50 / $832.50 / $2,429.58	Professional		$832.50	$832.50	$2,429.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,208.71 / $2,312.78 / $2,312.78	Professional		$2,208.71	$2,312.78	$2,312.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,325.23 / $2,208.71 / $3,092.19	Professional		$1,325.23	$2,208.71	$3,092.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,017.13 / $2,186.62 / $2,429.58	Professional		$1,017.13	$2,186.62	$2,429.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $965.94 / $1,779.20 / $2,102.28	Professional		$965.94	$1,779.20	$2,102.28