Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $799.91 / $799.91 / $799.91	Professional		$799.91	$799.91	$799.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,243.93 / $1,243.93 / $1,243.93	Facility		$1,243.93	$1,243.93	$1,243.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,206.80 / $1,206.80 / $1,722.40	Professional		$1,206.80	$1,206.80	$1,722.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,565.82 / $1,639.60 / $1,639.60	Professional		$1,565.82	$1,639.60	$1,639.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $939.49 / $1,565.82 / $2,192.15	Professional		$939.49	$1,565.82	$2,192.15
United Facility/Professional Professional Modifier Low / Median / High Price $1,091.26 / $1,550.16 / $1,722.40	Professional		$1,091.26	$1,550.16	$1,722.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $684.81 / $1,261.33 / $1,490.37	Professional		$684.81	$1,261.33	$1,490.37