Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.92 / $825.92 / $825.92	Professional		$825.92	$825.92	$825.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.49 / $1,659.49 / $1,659.49	Facility		$1,659.49	$1,659.49	$1,659.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,179.41 / $1,179.41 / $2,297.85	Professional		$1,179.41	$1,179.41	$2,297.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,088.94 / $2,187.38 / $2,187.38	Professional		$2,088.94	$2,187.38	$2,187.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,253.36 / $2,088.94 / $2,924.53	Professional		$1,253.36	$2,088.94	$2,924.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,105.94 / $1,659.49 / $2,297.85	Professional		$1,105.94	$1,659.49	$2,297.85
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $913.56 / $1,682.73 / $1,988.29	Professional		$913.56	$1,682.73	$1,988.29