Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.00 / $630.00 / $630.00	Professional		$630.00	$630.00	$630.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,952.61 / $1,952.61 / $1,952.61	Facility		$1,952.61	$1,952.61	$1,952.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.50 / $870.50 / $2,703.73	Professional		$870.50	$870.50	$2,703.73
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,457.94 / $2,573.76 / $2,573.76	Professional		$2,457.94	$2,573.76	$2,573.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,474.76 / $2,457.94 / $3,441.12	Professional		$1,474.76	$2,457.94	$3,441.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,027.33 / $1,952.61 / $2,703.73	Professional		$1,027.33	$1,952.61	$2,703.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,074.93 / $1,979.95 / $2,339.50	Professional		$1,074.93	$1,979.95	$2,339.50