Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.39 / $599.39 / $599.39	Professional		$599.39	$599.39	$599.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.75 / $2,290.75 / $2,290.75	Facility		$2,290.75	$2,290.75	$2,290.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,020.64 / $1,020.64 / $3,171.94	Professional		$1,020.64	$1,020.64	$3,171.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,883.58 / $3,019.45 / $3,019.45	Professional		$2,883.58	$3,019.45	$3,019.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,730.15 / $2,883.58 / $4,037.01	Professional		$1,730.15	$2,883.58	$4,037.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,326.01 / $2,290.75 / $3,171.94	Professional		$1,326.01	$2,290.75	$3,171.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,261.08 / $2,322.83 / $2,744.64	Professional		$1,261.08	$2,322.83	$2,744.64