Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.77 / $839.77 / $839.77	Professional		$839.77	$839.77	$839.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,977.24 / $1,977.24 / $1,977.24	Facility		$1,977.24	$1,977.24	$1,977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $2,737.82	Professional		$1,800.00	$1,800.00	$2,737.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,488.92 / $2,606.21 / $2,606.21	Professional		$2,488.92	$2,606.21	$2,606.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,493.36 / $2,488.92 / $3,484.50	Professional		$1,493.36	$2,488.92	$3,484.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,734.54 / $1,977.24 / $2,737.82	Professional		$1,734.54	$1,977.24	$2,737.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,088.49 / $2,004.93 / $2,369.01	Professional		$1,088.49	$2,004.93	$2,369.01