Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.28 / $136.28 / $136.28	Professional		$136.28	$136.28	$136.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $757.13 / $757.13 / $757.13	Facility		$757.13	$757.13	$757.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.60 / $1,048.38 / $1,048.38	Professional		$252.60	$1,048.38	$1,048.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $953.07 / $997.98 / $997.98	Professional		$953.07	$997.98	$997.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $571.84 / $953.07 / $1,334.30	Professional		$571.84	$953.07	$1,334.30
United Facility/Professional Professional Modifier Low / Median / High Price $234.56 / $757.13 / $1,048.38	Professional		$234.56	$757.13	$1,048.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $416.82 / $767.73 / $907.14	Professional		$416.82	$767.73	$907.14