Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.26 / $677.26 / $677.26	Facility		$677.26	$677.26	$677.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $677.25 / $677.25 / $677.25	Facility		$677.25	$677.25	$677.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $340.31 / $399.88	Professional		$340.31	$340.31	$399.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $486.52 / $486.52 / $486.52	Professional		$486.52	$486.52	$486.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $408.38 / $476.44	Professional		$340.31	$408.38	$476.44
United Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $399.88 / $510.47	Professional		$340.31	$399.88	$510.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $361.85 / $429.87 / $25,125.21	Professional		$361.85	$429.87	$25,125.21