Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.85 / $171.85 / $171.85	Professional		$171.85	$171.85	$171.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.86 / $746.86 / $746.86	Facility		$746.86	$746.86	$746.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.57 / $236.57 / $1,034.15	Professional		$236.57	$236.57	$1,034.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $940.14 / $984.44 / $984.44	Professional		$940.14	$984.44	$984.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $564.08 / $940.14 / $1,316.20	Professional		$564.08	$940.14	$1,316.20
United Facility/Professional Professional Modifier Low / Median / High Price $289.02 / $746.86 / $1,034.15	Professional		$289.02	$746.86	$1,034.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $411.17 / $757.32 / $894.84	Professional		$411.17	$757.32	$894.84