Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.58 / $296.58 / $296.58	Professional		$296.58	$296.58	$296.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $876.80 / $876.80 / $876.80	Facility		$876.80	$876.80	$876.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.60 / $408.60 / $1,214.08	Professional		$408.60	$408.60	$1,214.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,103.71 / $1,155.72 / $1,155.72	Professional		$1,103.71	$1,155.72	$1,155.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $662.23 / $1,103.71 / $1,545.19	Professional		$662.23	$1,103.71	$1,545.19
United Facility/Professional Professional Modifier Low / Median / High Price $499.22 / $876.80 / $1,214.08	Professional		$499.22	$876.80	$1,214.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $482.69 / $889.07 / $1,050.53	Professional		$482.69	$889.07	$1,050.53