Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.84 / $761.84 / $761.84	Professional		$761.84	$761.84	$761.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,527.83 / $2,527.83 / $2,527.83	Facility		$2,527.83	$2,527.83	$2,527.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,295.39 / $1,295.39 / $3,500.21	Professional		$1,295.39	$1,295.39	$3,500.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,182.01 / $3,331.95 / $3,331.95	Professional		$3,182.01	$3,331.95	$3,331.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,909.21 / $3,182.01 / $4,454.81	Professional		$1,909.21	$3,182.01	$4,454.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,246.25 / $2,527.83 / $3,500.21	Professional		$1,246.25	$2,527.83	$3,500.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,391.61 / $1,988.02 / $3,028.68	Professional		$1,391.61	$1,988.02	$3,028.68