Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.88 / $396.88 / $396.88	Professional		$396.88	$396.88	$396.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,250.92 / $1,250.92 / $1,250.92	Facility		$1,250.92	$1,250.92	$1,250.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $732.96 / $1,732.13 / $1,732.13	Professional		$732.96	$1,732.13	$1,732.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,574.66 / $1,648.86 / $1,648.86	Professional		$1,574.66	$1,648.86	$1,648.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $944.80 / $1,574.66 / $2,204.52	Professional		$944.80	$1,574.66	$2,204.52
United Facility/Professional Professional Modifier Low / Median / High Price $671.19 / $1,250.92 / $1,732.13	Professional		$671.19	$1,250.92	$1,732.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $688.65 / $1,268.44 / $1,498.78	Professional		$688.65	$1,268.44	$1,498.78