Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.30 / $187.30 / $187.30	Professional		$187.30	$187.30	$187.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $798.37 / $798.37 / $798.37	Facility		$798.37	$798.37	$798.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.34 / $335.34 / $1,105.48	Professional		$335.34	$335.34	$1,105.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,004.98 / $1,052.33 / $1,052.33	Professional		$1,004.98	$1,052.33	$1,052.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.99 / $1,004.98 / $1,406.97	Professional		$602.99	$1,004.98	$1,406.97
United Facility/Professional Professional Modifier Low / Median / High Price $409.71 / $798.37 / $1,105.48	Professional		$409.71	$798.37	$1,105.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $439.52 / $809.56 / $956.56	Professional		$439.52	$809.56	$956.56