Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.04 / $357.04 / $357.04	Professional		$357.04	$357.04	$357.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $833.16 / $833.16 / $833.16	Facility		$833.16	$833.16	$833.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.41 / $695.41 / $1,153.65	Professional		$695.41	$695.41	$1,153.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,048.77 / $1,098.19 / $1,098.19	Professional		$1,048.77	$1,098.19	$1,098.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $629.26 / $1,048.77 / $1,468.28	Professional		$629.26	$1,048.77	$1,468.28
United Facility/Professional Professional Modifier Low / Median / High Price $730.90 / $833.16 / $1,153.65	Professional		$730.90	$833.16	$1,153.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $844.83 / $873.78 / $998.24	Professional		$844.83	$873.78	$998.24