Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.33 / $497.33 / $497.33	Professional		$497.33	$497.33	$497.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,292.85 / $1,292.85 / $1,292.85	Facility		$1,292.85	$1,292.85	$1,292.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.15 / $1,790.17 / $1,790.17	Professional		$752.15	$1,790.17	$1,790.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,627.43 / $1,704.11 / $1,704.11	Professional		$1,627.43	$1,704.11	$1,704.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $976.46 / $1,627.43 / $2,278.40	Professional		$976.46	$1,627.43	$2,278.40
United Facility/Professional Professional Modifier Low / Median / High Price $820.53 / $1,292.85 / $1,790.17	Professional		$820.53	$1,292.85	$1,790.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $711.73 / $1,310.96 / $1,549.02	Professional		$711.73	$1,310.96	$1,549.02