Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.70 / $610.70 / $610.70	Professional		$610.70	$610.70	$610.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,386.61 / $1,386.61 / $1,386.61	Facility		$1,386.61	$1,386.61	$1,386.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,105.99 / $1,105.99 / $1,920.02	Professional		$1,105.99	$1,105.99	$1,920.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,745.47 / $1,827.72 / $1,827.72	Professional		$1,745.47	$1,827.72	$1,827.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.28 / $1,745.47 / $2,443.66	Professional		$1,047.28	$1,745.47	$2,443.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.00 / $1,728.02 / $1,920.02	Professional		$1,054.00	$1,728.02	$1,920.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $763.35 / $1,406.03 / $1,661.36	Professional		$763.35	$1,406.03	$1,661.36