Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.25 / $667.25 / $667.25	Professional		$667.25	$667.25	$667.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,865.13 / $1,865.13 / $1,865.13	Facility		$1,865.13	$1,865.13	$1,865.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,107.01 / $1,107.01 / $2,582.59	Professional		$1,107.01	$1,107.01	$2,582.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,347.81 / $2,458.44 / $2,458.44	Professional		$2,347.81	$2,458.44	$2,458.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,408.69 / $2,347.81 / $3,286.93	Professional		$1,408.69	$2,347.81	$3,286.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,379.01 / $1,865.13 / $2,582.59	Professional		$1,379.01	$1,865.13	$2,582.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,026.77 / $1,891.25 / $2,234.67	Professional		$1,026.77	$1,891.25	$2,234.67