Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.55 / $569.55 / $569.55	Professional		$569.55	$569.55	$569.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,231.25 / $1,231.25 / $1,231.25	Facility		$1,231.25	$1,231.25	$1,231.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.63 / $886.63 / $1,704.89	Professional		$886.63	$886.63	$1,704.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,549.90 / $1,622.93 / $1,622.93	Professional		$1,549.90	$1,622.93	$1,622.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $929.94 / $1,549.90 / $2,169.86	Professional		$929.94	$1,549.90	$2,169.86
United Facility/Professional Professional Modifier Low / Median / High Price $1,080.11 / $1,231.25 / $1,704.89	Professional		$1,080.11	$1,231.25	$1,704.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,035.58 / $1,291.28 / $1,475.21	Professional		$1,035.58	$1,291.28	$1,475.21