Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.96 / $665.96 / $665.96	Facility		$665.96	$665.96	$665.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,076.40 / $1,294.80 / $1,294.80	Professional		$1,076.40	$1,294.80	$1,294.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.96 / $665.96 / $665.96	Facility		$665.96	$665.96	$665.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.81 / $1,326.00 / $1,326.00	Professional		$399.81	$1,326.00	$1,326.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $455.32 / $455.32 / $455.32	Professional		$455.32	$455.32	$455.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $670.00	Professional		$5.00	$5.00	$670.00
United Facility/Professional Professional Modifier Low / Median / High Price $356.76 / $1,300.00 / $1,950.00	Professional		$356.76	$1,300.00	$1,950.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $234.70 / $370.18 / $477.53	Professional		$234.70	$370.18	$477.53