Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.14 / $612.14 / $612.14	Professional		$612.14	$612.14	$612.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,428.46 / $1,428.46 / $1,428.46	Facility		$1,428.46	$1,428.46	$1,428.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.38 / $1,028.38 / $1,977.94	Professional		$1,028.38	$1,028.38	$1,977.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,798.13 / $1,882.86 / $1,882.86	Professional		$1,798.13	$1,882.86	$1,882.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,078.88 / $1,798.13 / $2,517.38	Professional		$1,078.88	$1,798.13	$2,517.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,253.13 / $1,428.46 / $1,977.94	Professional		$1,253.13	$1,428.46	$1,977.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,448.47 / $1,498.11 / $1,711.49	Professional		$1,448.47	$1,498.11	$1,711.49