Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.48 / $566.48 / $566.48	Professional		$566.48	$566.48	$566.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,749.69 / $1,749.69 / $1,749.69	Facility		$1,749.69	$1,749.69	$1,749.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $963.22 / $963.23 / $2,422.76	Professional		$963.22	$963.23	$2,422.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,202.51 / $2,306.29 / $2,306.29	Professional		$2,202.51	$2,306.29	$2,306.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,321.51 / $2,202.51 / $3,083.51	Professional		$1,321.51	$2,202.51	$3,083.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,281.73 / $1,749.69 / $2,422.76	Professional		$1,281.73	$1,749.69	$2,422.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $963.24 / $1,774.19 / $2,096.38	Professional		$963.24	$1,774.19	$2,096.38