Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.50 / $686.50 / $686.50	Professional		$686.50	$686.50	$686.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,578.35 / $1,578.35 / $1,578.35	Facility		$1,578.35	$1,578.35	$1,578.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.30 / $1,167.30 / $2,185.50	Professional		$1,167.30	$1,167.30	$2,185.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,986.82 / $2,080.44 / $2,080.44	Professional		$1,986.82	$2,080.44	$2,080.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,192.08 / $1,986.82 / $2,781.55	Professional		$1,192.08	$1,986.82	$2,781.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,384.61 / $1,578.35 / $2,185.50	Professional		$1,384.61	$1,578.35	$2,185.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $868.90 / $1,600.45 / $1,891.08	Professional		$868.90	$1,600.45	$1,891.08