Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.44 / $542.44 / $542.44	Professional		$542.44	$542.44	$542.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,899.27 / $1,899.27 / $1,899.27	Facility		$1,899.27	$1,899.27	$1,899.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $908.63 / $908.63 / $2,629.84	Professional		$908.63	$908.63	$2,629.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,390.76 / $2,503.41 / $2,503.41	Professional		$2,390.76	$2,503.41	$2,503.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,434.46 / $2,390.76 / $3,347.06	Professional		$1,434.46	$2,390.76	$3,347.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,110.14 / $2,366.85 / $2,981.82	Professional		$1,110.14	$2,366.85	$2,981.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,925.86 / $1,991.86 / $2,275.57	Professional		$1,925.86	$1,991.86	$2,275.57