Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.25 / $430.25 / $430.25	Professional		$430.25	$430.25	$430.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,004.99 / $1,004.99 / $1,004.99	Facility		$1,004.99	$1,004.99	$1,004.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $723.52 / $723.52 / $1,391.58	Professional		$723.52	$723.52	$1,391.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $298.56 / $298.56 / $298.56	Professional		$298.56	$298.56	$298.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $885.55 / $1,265.07 / $1,771.10	Professional		$885.55	$1,265.07	$1,771.10
United Facility/Professional Professional Modifier Low / Median / High Price $827.13 / $1,182.83 / $1,391.58	Professional		$827.13	$1,182.83	$1,391.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,019.07 / $1,053.99 / $1,204.10	Professional		$1,019.07	$1,053.99	$1,204.10