Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.92 / $418.92 / $418.92	Professional		$418.92	$418.92	$418.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.57 / $977.57 / $977.57	Facility		$977.57	$977.57	$977.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.89 / $741.89 / $1,353.64	Professional		$741.89	$741.89	$1,353.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,230.58 / $1,288.56 / $1,288.56	Professional		$1,230.58	$1,288.56	$1,288.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $738.35 / $1,230.58 / $1,722.81	Professional		$738.35	$1,230.58	$1,722.81
United Facility/Professional Professional Modifier Low / Median / High Price $857.57 / $977.57 / $1,353.64	Professional		$857.57	$977.57	$1,353.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $991.27 / $1,025.25 / $1,171.29	Professional		$991.27	$1,025.25	$1,171.29