Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.16 / $501.16 / $501.16	Professional		$501.16	$501.16	$501.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,092.36 / $1,092.36 / $1,092.36	Facility		$1,092.36	$1,092.36	$1,092.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.14 / $501.14 / $1,512.59	Professional		$501.14	$501.14	$1,512.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,375.08 / $1,439.87 / $1,439.87	Professional		$1,375.08	$1,439.87	$1,439.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $825.05 / $1,375.08 / $1,925.11	Professional		$825.05	$1,375.08	$1,925.11
United Facility/Professional Professional Modifier Low / Median / High Price $550.10 / $1,092.36 / $1,512.59	Professional		$550.10	$1,092.36	$1,512.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $601.36 / $1,107.67 / $1,308.82	Professional		$601.36	$1,107.67	$1,308.82