Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.57 / $450.57 / $450.57	Professional		$450.57	$450.57	$450.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,188.23 / $1,188.23 / $1,188.23	Facility		$1,188.23	$1,188.23	$1,188.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.57 / $450.57 / $1,645.29	Professional		$450.57	$450.57	$1,645.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,495.72 / $1,566.20 / $1,566.20	Professional		$1,495.72	$1,566.20	$1,566.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $897.43 / $1,495.72 / $2,094.01	Professional		$897.43	$1,495.72	$2,094.01
United Facility/Professional Professional Modifier Low / Median / High Price $550.49 / $1,188.23 / $1,645.29	Professional		$550.49	$1,188.23	$1,645.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $654.14 / $1,204.86 / $1,423.65	Professional		$654.14	$1,204.86	$1,423.65