Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.68 / $182.68 / $182.68	Professional		$182.68	$182.68	$182.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $940.44 / $940.44 / $940.44	Facility		$940.44	$940.44	$940.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.13 / $347.13 / $1,302.21	Professional		$347.13	$347.13	$1,302.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,183.83 / $1,239.60 / $1,239.60	Professional		$1,183.83	$1,239.60	$1,239.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $710.30 / $1,183.83 / $1,657.36	Professional		$710.30	$1,183.83	$1,657.36
United Facility/Professional Professional Modifier Low / Median / High Price $409.66 / $940.44 / $1,302.21	Professional		$409.66	$940.44	$1,302.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $517.72 / $953.62 / $1,126.78	Professional		$517.72	$953.62	$1,126.78