Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.57 / $334.57 / $334.57	Professional		$334.57	$334.57	$334.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,143.38 / $1,143.38 / $1,143.38	Facility		$1,143.38	$1,143.38	$1,143.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.80 / $550.80 / $1,583.20	Professional		$550.80	$550.80	$1,583.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,439.27 / $1,507.09 / $1,507.09	Professional		$1,439.27	$1,507.09	$1,507.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $863.56 / $1,439.27 / $2,014.98	Professional		$863.56	$1,439.27	$2,014.98
United Facility/Professional Professional Modifier Low / Median / High Price $562.55 / $1,003.04 / $1,583.20	Professional		$562.55	$1,003.04	$1,583.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $629.45 / $1,159.39 / $1,369.92	Professional		$629.45	$1,159.39	$1,369.92