Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.10 / $776.10 / $776.10	Professional		$776.10	$776.10	$776.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,677.72 / $1,677.72 / $1,677.72	Facility		$1,677.72	$1,677.72	$1,677.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,207.83 / $1,207.83 / $2,323.10	Professional		$1,207.83	$1,207.83	$2,323.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,111.91 / $2,211.42 / $2,211.42	Professional		$2,111.91	$2,211.42	$2,211.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,267.15 / $2,111.91 / $2,956.67	Professional		$1,267.15	$2,111.91	$2,956.67
United Facility/Professional Professional Modifier Low / Median / High Price $1,471.79 / $1,677.72 / $2,323.10	Professional		$1,471.79	$1,677.72	$2,323.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $923.61 / $1,701.22 / $2,010.15	Professional		$923.61	$1,701.22	$2,010.15