Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.64 / $604.64 / $604.64	Professional		$604.64	$604.64	$604.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,707.27 / $1,707.27 / $1,707.27	Facility		$1,707.27	$1,707.27	$1,707.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,260.83 / $1,260.83 / $2,364.01	Professional		$1,260.83	$1,260.83	$2,364.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,149.10 / $2,250.37 / $2,250.37	Professional		$2,149.10	$2,250.37	$2,250.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,289.46 / $2,149.10 / $3,008.74	Professional		$1,289.46	$2,149.10	$3,008.74
United Facility/Professional Professional Modifier Low / Median / High Price $1,059.88 / $2,009.41 / $2,364.01	Professional		$1,059.88	$2,009.41	$2,364.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,731.18 / $1,790.51 / $2,045.55	Professional		$1,731.18	$1,790.51	$2,045.55