Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $670.44 / $670.44 / $670.44	Professional		$670.44	$670.44	$670.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,094.42 / $2,094.42 / $2,094.42	Facility		$2,094.42	$2,094.42	$2,094.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,573.58 / $1,573.58 / $2,900.07	Professional		$1,573.58	$1,573.58	$2,900.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,636.43 / $2,760.66 / $2,760.66	Professional		$2,636.43	$2,760.66	$2,760.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,581.86 / $2,636.43 / $3,691.00	Professional		$1,581.86	$2,636.43	$3,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,440.95 / $2,094.42 / $2,900.07	Professional		$1,440.95	$2,094.42	$2,900.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,153.02 / $2,123.76 / $2,509.40	Professional		$1,153.02	$2,123.76	$2,509.40