Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $898.18 / $898.18 / $898.18	Professional		$898.18	$898.18	$898.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,275.39 / $3,275.39 / $3,275.39	Facility		$3,275.39	$3,275.39	$3,275.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,654.54 / $1,654.54 / $4,535.35	Professional		$1,654.54	$1,654.54	$4,535.35
HMSA Facility/Professional Professional Modifier Low / Median / High Price $4,123.05 / $4,317.33 / $4,317.33	Professional		$4,123.05	$4,317.33	$4,317.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,473.83 / $4,123.05 / $5,772.27	Professional		$2,473.83	$4,123.05	$5,772.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,893.70 / $3,275.39 / $4,535.35	Professional		$1,893.70	$3,275.39	$4,535.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,803.15 / $3,321.27 / $3,924.39	Professional		$1,803.15	$3,321.27	$3,924.39