Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.99 / $504.99 / $504.99	Professional		$504.99	$504.99	$504.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,824.82 / $1,824.82 / $1,824.82	Facility		$1,824.82	$1,824.82	$1,824.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,036.33 / $1,036.33 / $2,526.78	Professional		$1,036.33	$1,036.33	$2,526.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,297.07 / $2,405.31 / $2,405.31	Professional		$2,297.07	$2,405.31	$2,405.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,378.24 / $2,297.07 / $3,215.90	Professional		$1,378.24	$2,297.07	$3,215.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,049.08 / $1,824.82 / $2,526.78	Professional		$1,049.08	$1,824.82	$2,526.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,004.59 / $1,850.37 / $2,186.38	Professional		$1,004.59	$1,850.37	$2,186.38