Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.07 / $337.07 / $337.07	Professional		$337.07	$337.07	$337.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $958.52 / $958.52 / $958.52	Facility		$958.52	$958.52	$958.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.73 / $565.73 / $1,327.25	Professional		$565.73	$565.73	$1,327.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,206.58 / $1,263.44 / $1,263.44	Professional		$1,206.58	$1,263.44	$1,263.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $723.95 / $1,206.58 / $1,689.23	Professional		$723.95	$1,206.58	$1,689.23
United Facility/Professional Professional Modifier Low / Median / High Price $667.65 / $958.52 / $1,327.25	Professional		$667.65	$958.52	$1,327.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $527.66 / $971.95 / $1,148.45	Professional		$527.66	$971.95	$1,148.45