Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.71 / $602.71 / $602.71	Professional		$602.71	$602.71	$602.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,301.33 / $1,301.33 / $1,301.33	Facility		$1,301.33	$1,301.33	$1,301.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.20 / $1,232.20 / $1,801.91	Professional		$1,232.20	$1,232.20	$1,801.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,638.10 / $1,715.29 / $1,715.29	Professional		$1,638.10	$1,715.29	$1,715.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $982.86 / $1,638.10 / $2,293.34	Professional		$982.86	$1,638.10	$2,293.34
United Facility/Professional Professional Modifier Low / Median / High Price $1,074.50 / $1,301.33 / $2,043.09	Professional		$1,074.50	$1,301.33	$2,043.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $716.41 / $1,319.56 / $1,559.17	Professional		$716.41	$1,319.56	$1,559.17