Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.32 / $668.32 / $668.32	Professional		$668.32	$668.32	$668.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,396.88 / $1,396.88 / $1,396.88	Facility		$1,396.88	$1,396.88	$1,396.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $926.75 / $1,934.20 / $1,934.20	Professional		$926.75	$1,934.20	$1,934.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,758.36 / $1,841.21 / $1,841.21	Professional		$1,758.36	$1,841.21	$1,841.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,758.36 / $2,461.69	Professional		$1,174.90	$1,758.36	$2,461.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,132.27 / $1,396.88 / $1,934.20	Professional		$1,132.27	$1,396.88	$1,934.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,416.44 / $1,464.98 / $1,673.64	Professional		$1,416.44	$1,464.98	$1,673.64