Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $990.41 / $990.41 / $990.41	Professional		$990.41	$990.41	$990.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,141.00 / $2,141.00 / $2,141.00	Facility		$2,141.00	$2,141.00	$2,141.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,786.24 / $1,786.24 / $2,964.59	Professional		$1,786.24	$1,786.24	$2,964.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,695.08 / $2,822.07 / $2,822.07	Professional		$2,695.08	$2,822.07	$2,822.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,886.56 / $2,695.08 / $3,773.11	Professional		$1,886.56	$2,695.08	$3,773.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.34 / $2,141.00 / $2,964.59	Professional		$1,445.34	$2,141.00	$2,964.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,170.98 / $2,245.39 / $2,565.21	Professional		$2,170.98	$2,245.39	$2,565.21