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 $1,433.99 / $1,433.99 / $1,433.99	Facility		$1,433.99	$1,433.99	$1,433.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,324.18 / $1,324.18 / $1,985.60	Professional		$1,324.18	$1,324.18	$1,985.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,805.09 / $1,890.15 / $1,890.15	Professional		$1,805.09	$1,890.15	$1,890.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,083.05 / $1,805.09 / $2,527.13	Professional		$1,083.05	$1,805.09	$2,527.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,212.58 / $1,433.99 / $2,251.35	Professional		$1,212.58	$1,433.99	$2,251.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $789.44 / $1,127.77 / $1,718.11	Professional		$789.44	$1,127.77	$1,718.11