Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.01 / $865.01 / $865.01	Professional		$865.01	$865.01	$865.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,869.93 / $1,869.93 / $1,869.93	Facility		$1,869.93	$1,869.93	$1,869.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,346.19 / $1,346.19 / $2,589.25	Professional		$1,346.19	$1,346.19	$2,589.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,353.86 / $2,464.77 / $2,464.77	Professional		$2,353.86	$2,464.77	$2,464.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.32 / $2,353.86 / $3,295.40	Professional		$1,412.32	$2,353.86	$3,295.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,640.41 / $1,869.93 / $2,589.25	Professional		$1,640.41	$1,869.93	$2,589.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,029.42 / $1,896.12 / $2,240.44	Professional		$1,029.42	$1,896.12	$2,240.44