Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.75 / $235.75 / $235.75	Professional		$235.75	$235.75	$235.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $978.47 / $978.47 / $978.47	Facility		$978.47	$978.47	$978.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.71 / $408.71 / $1,354.88	Professional		$408.71	$408.71	$1,354.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,231.71 / $1,289.75 / $1,289.75	Professional		$1,231.71	$1,289.75	$1,289.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $739.03 / $1,231.71 / $1,724.39	Professional		$739.03	$1,231.71	$1,724.39
United Facility/Professional Professional Modifier Low / Median / High Price $499.35 / $978.47 / $1,354.88	Professional		$499.35	$978.47	$1,354.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $538.66 / $992.18 / $1,172.35	Professional		$538.66	$992.18	$1,172.35