Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.18 / $467.18 / $467.18	Professional		$467.18	$467.18	$467.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,090.18 / $1,090.18 / $1,090.18	Facility		$1,090.18	$1,090.18	$1,090.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $907.46 / $907.46 / $1,509.54	Professional		$907.46	$907.46	$1,509.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,372.31 / $1,436.97 / $1,436.97	Professional		$1,372.31	$1,436.97	$1,436.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $823.39 / $1,372.31 / $1,921.23	Professional		$823.39	$1,372.31	$1,921.23
United Facility/Professional Professional Modifier Low / Median / High Price $956.37 / $1,090.18 / $1,509.54	Professional		$956.37	$1,090.18	$1,509.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,105.45 / $1,143.33 / $1,306.19	Professional		$1,105.45	$1,143.33	$1,306.19