Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.83 / $494.83 / $494.83	Professional		$494.83	$494.83	$494.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,926.61 / $1,926.61 / $1,926.61	Facility		$1,926.61	$1,926.61	$1,926.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $736.22 / $736.22 / $2,667.72	Professional		$736.22	$736.22	$2,667.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,425.19 / $2,539.48 / $2,539.48	Professional		$2,425.19	$2,539.48	$2,539.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,455.12 / $2,425.19 / $3,395.28	Professional		$1,455.12	$2,425.19	$3,395.28
United Facility/Professional Professional Modifier Low / Median / High Price $783.73 / $1,926.61 / $2,667.72	Professional		$783.73	$1,926.61	$2,667.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,060.63 / $1,953.59 / $2,308.34	Professional		$1,060.63	$1,953.59	$2,308.34