Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.89 / $782.89 / $782.89	Professional		$782.89	$782.89	$782.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,088.10 / $2,088.10 / $2,088.10	Facility		$2,088.10	$2,088.10	$2,088.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.82 / $2,891.35 / $2,891.35	Professional		$1,132.82	$2,891.35	$2,891.35
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,628.50 / $2,752.35 / $2,752.35	Professional		$2,628.50	$2,752.35	$2,752.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,577.10 / $2,628.50 / $3,679.90	Professional		$1,577.10	$2,628.50	$3,679.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,386.83 / $2,088.10 / $2,891.35	Professional		$1,386.83	$2,088.10	$2,891.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,149.53 / $2,117.35 / $2,501.84	Professional		$1,149.53	$2,117.35	$2,501.84