Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.88 / $203.88 / $203.88	Professional		$203.88	$203.88	$203.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $728.06 / $728.06 / $728.06	Facility		$728.06	$728.06	$728.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.79 / $313.79 / $1,008.13	Professional		$313.79	$313.79	$1,008.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $916.48 / $959.66 / $959.66	Professional		$916.48	$959.66	$959.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.89 / $916.48 / $1,283.07	Professional		$549.89	$916.48	$1,283.07
United Facility/Professional Professional Modifier Low / Median / High Price $333.53 / $728.06 / $1,008.13	Professional		$333.53	$728.06	$1,008.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $400.81 / $738.26 / $872.32	Professional		$400.81	$738.26	$872.32