Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,085.22 / $1,085.22 / $1,085.22	Facility		$1,085.22	$1,085.22	$1,085.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,085.22 / $1,085.22 / $1,085.22	Facility		$1,085.22	$1,085.22	$1,085.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $558.46	Professional		$558.46	$558.46	$558.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $791.64 / $791.64 / $791.64	Professional		$791.64	$791.64	$791.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $614.29 / $670.15 / $781.84	Professional		$614.29	$670.15	$781.84
United Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $650.66 / $837.69	Professional		$558.46	$650.66	$837.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $542.88 / $656.09 / $699.46	Professional		$542.88	$656.09	$699.46