Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.90 / $746.90 / $746.90	Professional		$746.90	$746.90	$746.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,614.61 / $1,614.61 / $1,614.61	Facility		$1,614.61	$1,614.61	$1,614.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,162.68 / $1,162.68 / $2,235.71	Professional		$1,162.68	$1,162.68	$2,235.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,032.46 / $2,128.23 / $2,128.23	Professional		$2,032.46	$2,128.23	$2,128.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,416.44 / $2,032.46 / $2,845.44	Professional		$1,416.44	$2,032.46	$2,845.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,233.54 / $1,614.61 / $2,235.71	Professional		$1,233.54	$1,614.61	$2,235.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,637.22 / $1,693.33 / $1,934.52	Professional		$1,637.22	$1,693.33	$1,934.52