Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.17 / $691.17 / $691.17	Professional		$691.17	$691.17	$691.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,883.72 / $1,883.72 / $1,883.72	Facility		$1,883.72	$1,883.72	$1,883.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,576.65 / $1,576.65 / $2,608.33	Professional		$1,576.65	$1,576.65	$2,608.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,371.21 / $2,482.94 / $2,482.94	Professional		$2,371.21	$2,482.94	$2,482.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,422.73 / $2,371.21 / $3,319.69	Professional		$1,422.73	$2,371.21	$3,319.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,432.33 / $1,883.72 / $2,957.43	Professional		$1,432.33	$1,883.72	$2,957.43
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,037.01 / $1,481.44 / $2,256.94	Professional		$1,037.01	$1,481.44	$2,256.94