Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.38 / $400.38 / $400.38	Professional		$400.38	$400.38	$400.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,510.00 / $3,510.00 / $3,510.00	Facility		$3,510.00	$3,510.00	$3,510.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,818.80 / $2,139.76 / $2,139.76	Professional		$1,818.80	$2,139.76	$2,139.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $4,900.00 / $5,130.89 / $5,130.89	Professional		$4,900.00	$5,130.89	$5,130.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,216.99 / $1,945.24 / $2,723.34	Professional		$1,216.99	$1,945.24	$2,723.34
United Facility/Professional Professional Modifier Low / Median / High Price $822.51 / $1,925.79 / $3,510.00	Professional		$822.51	$1,925.79	$3,510.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,215.33 / $1,703.32 / $1,851.51	Professional		$1,215.33	$1,703.32	$1,851.51