Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.59 / $494.59 / $494.59	Professional		$494.59	$494.59	$494.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,298.05 / $1,298.05 / $1,298.05	Facility		$1,298.05	$1,298.05	$1,298.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.86 / $680.86 / $1,797.39	Professional		$680.86	$680.86	$1,797.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,633.99 / $1,710.98 / $1,710.98	Professional		$1,633.99	$1,710.98	$1,710.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $980.39 / $1,633.99 / $2,287.59	Professional		$980.39	$1,633.99	$2,287.59
United Facility/Professional Facility Modifier Low / Median / High Price $544.48 / $544.48 / $544.48	Facility		$544.48	$544.48	$544.48
United Facility/Professional Professional Modifier Low / Median / High Price $831.85 / $1,298.05 / $1,797.39	Professional		$831.85	$1,298.05	$1,797.39
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $714.60 / $1,316.23 / $1,555.25	Professional		$714.60	$1,316.23	$1,555.25