Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.45 / $283.45 / $283.45	Professional		$283.45	$283.45	$283.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $759.36 / $759.36 / $759.36	Facility		$759.36	$759.36	$759.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.66 / $1,051.47 / $1,051.47	Professional		$523.66	$1,051.47	$1,051.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $955.88 / $1,000.92 / $1,000.92	Professional		$955.88	$1,000.92	$1,000.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $573.53 / $955.88 / $1,338.23	Professional		$573.53	$955.88	$1,338.23
United Facility/Professional Professional Modifier Low / Median / High Price $442.41 / $666.15 / $1,051.47	Professional		$442.41	$666.15	$1,051.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $418.04 / $769.99 / $909.82	Professional		$418.04	$769.99	$909.82