Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.78 / $870.78 / $870.78	Professional		$870.78	$870.78	$870.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,733.88 / $1,733.88 / $1,733.88	Facility		$1,733.88	$1,733.88	$1,733.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,316.65 / $1,316.65 / $2,400.85	Professional		$1,316.65	$1,316.65	$2,400.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,182.59 / $2,285.42 / $2,285.42	Professional		$2,182.59	$2,285.42	$2,285.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,309.55 / $2,182.59 / $3,055.63	Professional		$1,309.55	$2,182.59	$3,055.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,356.74 / $1,733.88 / $2,400.85	Professional		$1,356.74	$1,733.88	$2,400.85
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $954.52 / $1,758.16 / $2,077.42	Professional		$954.52	$1,758.16	$2,077.42