Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.32 / $798.32 / $798.32	Professional		$798.32	$798.32	$798.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,435.92 / $2,435.92 / $2,435.92	Facility		$2,435.92	$2,435.92	$2,435.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,599.98 / $1,599.98 / $3,372.94	Professional		$1,599.98	$1,599.98	$3,372.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,066.31 / $3,210.79 / $3,210.79	Professional		$3,066.31	$3,210.79	$3,210.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,839.79 / $3,066.31 / $4,292.83	Professional		$1,839.79	$3,066.31	$4,292.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,272.88 / $2,435.92 / $3,372.94	Professional		$1,272.88	$2,435.92	$3,372.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,341.00 / $1,915.72 / $2,918.56	Professional		$1,341.00	$1,915.72	$2,918.56