Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.50 / $977.50 / $977.50	Professional		$977.50	$977.50	$977.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,659.11 / $2,659.11 / $2,659.11	Facility		$2,659.11	$2,659.11	$2,659.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,424.68 / $3,682.02 / $3,682.02	Professional		$1,424.68	$3,682.02	$3,682.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,347.29 / $3,505.01 / $3,505.01	Professional		$3,347.29	$3,505.01	$3,505.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,343.10 / $3,347.29 / $4,686.21	Professional		$2,343.10	$3,347.29	$4,686.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,740.63 / $2,659.11 / $3,682.02	Professional		$1,740.63	$2,659.11	$3,682.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,463.88 / $2,696.35 / $3,186.00	Professional		$1,463.88	$2,696.35	$3,186.00