Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.64 / $710.64 / $710.64	Professional		$710.64	$710.64	$710.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,139.59 / $2,139.59 / $2,139.59	Facility		$2,139.59	$2,139.59	$2,139.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,226.77 / $1,226.77 / $2,962.64	Professional		$1,226.77	$1,226.77	$2,962.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,693.31 / $2,820.22 / $2,820.22	Professional		$2,693.31	$2,820.22	$2,820.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,615.99 / $2,693.31 / $3,770.63	Professional		$1,615.99	$2,693.31	$3,770.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,476.33 / $2,139.59 / $2,962.64	Professional		$1,476.33	$2,139.59	$2,962.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,177.88 / $2,169.56 / $2,563.54	Professional		$1,177.88	$2,169.56	$2,563.54