Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.01 / $791.01 / $822.97	Professional		$791.01	$791.01	$822.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.42 / $1,238.42 / $1,238.42	Facility		$1,238.42	$1,238.42	$1,238.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,548.76	Professional		$812.83	$812.83	$1,548.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,407.96 / $1,474.30 / $1,474.30	Professional		$1,407.96	$1,474.30	$1,474.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $985.57 / $1,407.96 / $1,971.14	Professional		$985.57	$1,407.96	$1,971.14
United Facility/Professional Professional Modifier Low / Median / High Price $686.96 / $1,238.42 / $1,548.76	Professional		$686.96	$1,238.42	$1,548.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,220.11 / $1,273.08 / $1,352.09	Professional		$1,220.11	$1,273.08	$1,352.09