Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $684.77 / $684.77 / $684.77	Professional		$684.77	$684.77	$684.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,592.71 / $2,592.71 / $2,592.71	Facility		$2,592.71	$2,592.71	$2,592.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,530.70 / $3,590.07 / $3,590.07	Professional		$1,530.70	$3,590.07	$3,590.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,263.70 / $3,417.49 / $3,417.49	Professional		$3,263.70	$3,417.49	$3,417.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,958.22 / $3,263.70 / $4,569.18	Professional		$1,958.22	$3,263.70	$4,569.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,401.70 / $2,592.71 / $3,590.07	Professional		$1,401.70	$2,592.71	$3,590.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,427.31 / $2,629.02 / $3,106.44	Professional		$1,427.31	$2,629.02	$3,106.44