Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.05 / $686.05 / $686.05	Professional		$686.05	$686.05	$686.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,600.92 / $1,600.92 / $1,600.92	Facility		$1,600.92	$1,600.92	$1,600.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,335.63 / $1,335.63 / $2,216.75	Professional		$1,335.63	$1,335.63	$2,216.75
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,015.23 / $2,110.19 / $2,110.19	Professional		$2,015.23	$2,110.19	$2,110.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,209.14 / $2,015.23 / $2,821.32	Professional		$1,209.14	$2,015.23	$2,821.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,404.41 / $1,600.92 / $2,216.75	Professional		$1,404.41	$1,600.92	$2,216.75
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,623.34 / $1,678.98 / $1,918.13	Professional		$1,623.34	$1,678.98	$1,918.13