Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.93 / $774.93 / $774.93	Professional		$774.93	$774.93	$774.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,896.16 / $1,896.16 / $1,896.16	Facility		$1,896.16	$1,896.16	$1,896.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.72 / $1,232.72 / $2,625.56	Professional		$1,232.72	$1,232.72	$2,625.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,386.87 / $2,499.34 / $2,499.34	Professional		$2,386.87	$2,499.34	$2,499.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,432.12 / $2,386.87 / $3,341.62	Professional		$1,432.12	$2,386.87	$3,341.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,128.83 / $1,896.16 / $2,625.56	Professional		$1,128.83	$1,896.16	$2,625.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,043.84 / $1,491.22 / $2,271.86	Professional		$1,043.84	$1,491.22	$2,271.86