Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.15 / $642.15 / $642.15	Professional		$642.15	$642.15	$642.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,797.24 / $1,797.24 / $1,797.24	Facility		$1,797.24	$1,797.24	$1,797.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,375.24 / $1,375.24 / $2,488.60	Professional		$1,375.24	$1,375.24	$2,488.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,262.36 / $2,368.96 / $2,368.96	Professional		$2,262.36	$2,368.96	$2,368.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,357.42 / $2,262.36 / $3,167.30	Professional		$1,357.42	$2,262.36	$3,167.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,334.02 / $1,797.24 / $2,488.60	Professional		$1,334.02	$1,797.24	$2,488.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $989.42 / $1,413.45 / $2,153.35	Professional		$989.42	$1,413.45	$2,153.35