Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $926.78 / $926.78 / $926.78	Professional		$926.78	$926.78	$926.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.62 / $279.62 / $279.62	Facility		$279.62	$279.62	$279.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.67 / $316.45 / $404.17	Professional		$225.67	$316.45	$404.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $347.90 / $393.94	Professional		$66.47	$347.90	$393.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $77.17 / $90.03	Professional		$70.73	$77.17	$90.03
United Facility/Professional Professional Modifier Low / Median / High Price $894.90 / $2,028.96 / $2,891.06	Professional		$894.90	$2,028.96	$2,891.06
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $99.71 / $418.05	Professional		$57.66	$99.71	$418.05