Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $773.55 / $773.55 / $773.55	Professional		$773.55	$773.55	$773.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,243.81 / $2,243.81 / $2,243.81	Facility		$2,243.81	$2,243.81	$2,243.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,498.90 / $1,498.90 / $3,106.94	Professional		$1,498.90	$1,498.90	$3,106.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,824.49 / $2,957.58 / $2,957.58	Professional		$2,824.49	$2,957.58	$2,957.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,694.69 / $2,824.49 / $3,954.29	Professional		$1,694.69	$2,824.49	$3,954.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,345.33 / $2,243.81 / $3,106.94	Professional		$1,345.33	$2,243.81	$3,106.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,235.25 / $2,275.23 / $2,688.39	Professional		$1,235.25	$2,275.23	$2,688.39