Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.97 / $572.97 / $572.97	Professional		$572.97	$572.97	$572.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.63 / $1,238.63 / $1,238.63	Facility		$1,238.63	$1,238.63	$1,238.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.71 / $891.71 / $1,715.11	Professional		$891.71	$891.71	$1,715.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,559.19 / $1,632.66 / $1,632.66	Professional		$1,559.19	$1,632.66	$1,632.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,091.43 / $1,559.19 / $2,182.87	Professional		$1,091.43	$1,559.19	$2,182.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,020.43 / $1,543.60 / $1,715.11	Professional		$1,020.43	$1,543.60	$1,715.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,255.99 / $1,299.03 / $1,484.06	Professional		$1,255.99	$1,299.03	$1,484.06