Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.69 / $262.69 / $262.69	Professional		$262.69	$262.69	$262.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $806.23 / $806.23 / $806.23	Facility		$806.23	$806.23	$806.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.17 / $499.17 / $1,116.36	Professional		$499.17	$499.17	$1,116.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,014.88 / $1,062.70 / $1,062.70	Professional		$1,014.88	$1,062.70	$1,062.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $608.92 / $1,014.88 / $1,420.83	Professional		$608.92	$1,014.88	$1,420.83
United Facility/Professional Professional Modifier Low / Median / High Price $589.10 / $806.23 / $1,116.36	Professional		$589.10	$806.23	$1,116.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $443.84 / $817.52 / $965.97	Professional		$443.84	$817.52	$965.97