Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.99 / $535.99 / $535.99	Professional		$535.99	$535.99	$535.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,158.67 / $1,158.67 / $1,158.67	Facility		$1,158.67	$1,158.67	$1,158.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $967.10 / $967.10 / $1,604.37	Professional		$967.10	$967.10	$1,604.37
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,458.52 / $1,527.25 / $1,527.25	Professional		$1,458.52	$1,527.25	$1,527.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,020.96 / $1,458.52 / $2,041.93	Professional		$1,020.96	$1,458.52	$2,041.93
United Facility/Professional Professional Modifier Low / Median / High Price $782.20 / $1,158.67 / $1,604.37	Professional		$782.20	$1,158.67	$1,604.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,215.17 / $1,388.25	Professional		$1,174.90	$1,215.17	$1,388.25