Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.17 / $767.17 / $767.17	Professional		$767.17	$767.17	$767.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,343.23 / $2,343.23 / $2,343.23	Facility		$2,343.23	$2,343.23	$2,343.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,620.00 / $1,620.00 / $3,244.64	Professional		$1,620.00	$1,620.00	$3,244.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,949.67 / $3,088.66 / $3,088.66	Professional		$2,949.67	$3,088.66	$3,088.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,769.80 / $2,949.67 / $4,129.54	Professional		$1,769.80	$2,949.67	$4,129.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,593.75 / $2,343.23 / $3,244.64	Professional		$1,593.75	$2,343.23	$3,244.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,289.98 / $2,376.06 / $2,807.54	Professional		$1,289.98	$2,376.06	$2,807.54