Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $913.19 / $913.19 / $913.19	Professional		$913.19	$913.19	$913.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,540.48 / $2,540.48 / $2,540.48	Facility		$2,540.48	$2,540.48	$2,540.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,552.76 / $3,517.73 / $3,517.73	Professional		$1,552.76	$3,517.73	$3,517.73
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,197.94 / $3,348.63 / $3,348.63	Professional		$3,197.94	$3,348.63	$3,348.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,918.76 / $3,197.94 / $4,477.12	Professional		$1,918.76	$3,197.94	$4,477.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,897.11 / $2,540.48 / $3,517.73	Professional		$1,897.11	$2,540.48	$3,517.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,398.57 / $2,576.06 / $3,043.85	Professional		$1,398.57	$2,576.06	$3,043.85