Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $804.30 / $804.30 / $804.30	Professional		$804.30	$804.30	$804.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,001.90 / $2,001.90 / $2,001.90	Facility		$2,001.90	$2,001.90	$2,001.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,473.53 / $1,473.53 / $2,771.98	Professional		$1,473.53	$1,473.53	$2,771.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,519.98 / $2,638.72 / $2,638.72	Professional		$2,519.98	$2,638.72	$2,638.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,511.99 / $2,519.98 / $3,527.97	Professional		$1,511.99	$2,519.98	$3,527.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,310.61 / $2,001.90 / $2,771.98	Professional		$1,310.61	$2,001.90	$2,771.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,102.07 / $2,029.94 / $2,398.56	Professional		$1,102.07	$2,029.94	$2,398.56