Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.63 / $836.63 / $836.63	Professional		$836.63	$836.63	$836.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,767.75 / $2,767.75 / $2,767.75	Facility		$2,767.75	$2,767.75	$2,767.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,271.83 / $1,271.83 / $3,832.43	Professional		$1,271.83	$1,271.83	$3,832.43
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,484.03 / $3,648.20 / $3,648.20	Professional		$3,484.03	$3,648.20	$3,648.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,090.42 / $3,484.03 / $4,877.64	Professional		$2,090.42	$3,484.03	$4,877.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,553.88 / $2,767.75 / $4,345.37	Professional		$1,553.88	$2,767.75	$4,345.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,523.68 / $2,176.67 / $3,316.15	Professional		$1,523.68	$2,176.67	$3,316.15