Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.80 / $717.80 / $717.80	Facility		$717.80	$717.80	$717.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $717.79 / $717.79 / $717.79	Facility		$717.79	$717.79	$717.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $381.36	Professional		$381.36	$381.36	$381.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $546.07 / $546.07 / $546.07	Professional		$546.07	$546.07	$546.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $419.50 / $457.63 / $533.90	Professional		$419.50	$457.63	$533.90
United Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $448.82 / $572.04	Professional		$381.36	$448.82	$572.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $357.53 / $429.91 / $461.21	Professional		$357.53	$429.91	$461.21