Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.66 / $681.66 / $681.66	Professional		$681.66	$681.66	$681.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,349.23 / $1,349.23 / $1,349.23	Facility		$1,349.23	$1,349.23	$1,349.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $913.06 / $913.06 / $1,868.26	Professional		$913.06	$913.06	$1,868.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,698.42 / $1,778.45 / $1,778.45	Professional		$1,698.42	$1,778.45	$1,778.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,019.05 / $1,698.42 / $2,377.79	Professional		$1,019.05	$1,698.42	$2,377.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,145.14 / $1,349.23 / $1,868.26	Professional		$1,145.14	$1,349.23	$1,868.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $742.77 / $1,368.13 / $1,616.58	Professional		$742.77	$1,368.13	$1,616.58