Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.74 / $722.74 / $722.74	Professional		$722.74	$722.74	$722.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,686.53 / $1,686.53 / $1,686.53	Facility		$1,686.53	$1,686.53	$1,686.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,540.39 / $1,540.39 / $2,335.30	Professional		$1,540.39	$1,540.39	$2,335.30
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,123.00 / $2,223.04 / $2,223.04	Professional		$2,123.00	$2,223.04	$2,223.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,273.80 / $2,123.00 / $2,972.20	Professional		$1,273.80	$2,123.00	$2,972.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.53 / $1,686.53 / $2,335.30	Professional		$1,479.53	$1,686.53	$2,335.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,710.15 / $1,768.76 / $2,020.70	Professional		$1,710.15	$1,768.76	$2,020.70