Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.48 / $676.48 / $676.48	Professional		$676.48	$676.48	$676.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,462.39 / $1,462.39 / $1,462.39	Facility		$1,462.39	$1,462.39	$1,462.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,329.56 / $2,024.95 / $2,024.95	Professional		$1,329.56	$2,024.95	$2,024.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,840.86 / $1,927.60 / $1,927.60	Professional		$1,840.86	$1,927.60	$1,927.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.59 / $1,840.86 / $2,577.19	Professional		$1,288.59	$1,840.86	$2,577.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,204.75 / $1,721.20 / $2,024.95	Professional		$1,204.75	$1,721.20	$2,024.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,482.87 / $1,533.69 / $1,752.15	Professional		$1,482.87	$1,533.69	$1,752.15