Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.92 / $668.92 / $668.92	Professional		$668.92	$668.92	$668.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $929.15 / $929.15 / $929.15	Facility		$929.15	$929.15	$929.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $736.69 / $1,286.56 / $1,286.56	Professional		$736.69	$1,286.56	$1,286.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,169.59 / $1,224.71 / $1,224.71	Professional		$1,169.59	$1,224.71	$1,224.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $701.76 / $1,169.59 / $1,637.44	Professional		$701.76	$1,169.59	$1,637.44
United Facility/Professional Professional Modifier Low / Median / High Price $815.11 / $929.15 / $1,286.56	Professional		$815.11	$929.15	$1,286.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $781.51 / $974.45 / $1,113.25	Professional		$781.51	$974.45	$1,113.25