Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $996.99 / $996.99 / $996.99	Professional		$996.99	$996.99	$996.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,980.17 / $1,980.17 / $1,980.17	Facility		$1,980.17	$1,980.17	$1,980.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,037.25 / $1,037.25 / $2,741.90	Professional		$1,037.25	$1,037.25	$2,741.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,492.64 / $2,610.09 / $2,610.09	Professional		$2,492.64	$2,610.09	$2,610.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,744.85 / $2,492.64 / $3,489.70	Professional		$1,744.85	$2,492.64	$3,489.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,133.44 / $2,330.62 / $2,741.90	Professional		$1,133.44	$2,330.62	$2,741.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,980.17 / $2,076.73 / $2,372.53	Professional		$1,980.17	$2,076.73	$2,372.53