Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.62 / $200.62 / $200.62	Professional		$200.62	$200.62	$200.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $799.36 / $799.36 / $799.36	Facility		$799.36	$799.36	$799.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.92 / $378.92 / $1,106.82	Professional		$378.92	$378.92	$1,106.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,006.20 / $1,053.60 / $1,053.60	Professional		$1,006.20	$1,053.60	$1,053.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $603.72 / $1,006.20 / $1,408.68	Professional		$603.72	$1,006.20	$1,408.68
United Facility/Professional Professional Modifier Low / Median / High Price $340.88 / $799.36 / $1,106.82	Professional		$340.88	$799.36	$1,106.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $440.06 / $810.55 / $957.72	Professional		$440.06	$810.55	$957.72