Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $837.48 / $837.48 / $837.48	Professional		$837.48	$837.48	$837.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,744.80 / $2,744.80 / $2,744.80	Facility		$2,744.80	$2,744.80	$2,744.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,408.48 / $1,408.48 / $3,800.64	Professional		$1,408.48	$1,408.48	$3,800.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,455.13 / $3,617.94 / $3,617.94	Professional		$3,455.13	$3,617.94	$3,617.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,073.08 / $3,455.13 / $4,837.18	Professional		$2,073.08	$3,455.13	$4,837.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,405.22 / $2,744.80 / $3,800.64	Professional		$1,405.22	$2,744.80	$3,800.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,511.05 / $2,783.24 / $3,288.65	Professional		$1,511.05	$2,783.24	$3,288.65