Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.01 / $489.01 / $489.01	Professional		$489.01	$489.01	$489.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,715.55 / $1,715.55 / $1,715.55	Facility		$1,715.55	$1,715.55	$1,715.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $897.58 / $2,375.46 / $2,375.46	Professional		$897.58	$2,375.46	$2,375.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,159.52 / $2,261.28 / $2,261.28	Professional		$2,159.52	$2,261.28	$2,261.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,295.71 / $2,159.52 / $3,023.33	Professional		$1,295.71	$2,159.52	$3,023.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.64 / $1,715.55 / $2,375.46	Professional		$1,096.64	$1,715.55	$2,375.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $944.44 / $1,349.20 / $2,055.46	Professional		$944.44	$1,349.20	$2,055.46