Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.11 / $375.11 / $375.11	Professional		$375.11	$375.11	$375.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,575.91 / $1,575.91 / $1,575.91	Facility		$1,575.91	$1,575.91	$1,575.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.31 / $660.31 / $2,182.11	Professional		$660.31	$660.31	$2,182.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,983.74 / $2,077.21 / $2,077.21	Professional		$1,983.74	$2,077.21	$2,077.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,190.24 / $1,983.74 / $2,777.24	Professional		$1,190.24	$1,983.74	$2,777.24
United Facility/Professional Professional Modifier Low / Median / High Price $779.26 / $1,575.91 / $2,182.11	Professional		$779.26	$1,575.91	$2,182.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $867.56 / $1,597.99 / $1,888.16	Professional		$867.56	$1,597.99	$1,888.16