Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.33 / $361.33 / $361.33	Professional		$361.33	$361.33	$361.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.17 / $843.17 / $843.17	Facility		$843.17	$843.17	$843.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.01 / $607.01 / $1,167.53	Professional		$607.01	$607.01	$1,167.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,061.39 / $1,111.40 / $1,111.40	Professional		$1,061.39	$1,111.40	$1,111.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $636.83 / $1,061.39 / $1,485.95	Professional		$636.83	$1,061.39	$1,485.95
United Facility/Professional Professional Modifier Low / Median / High Price $739.69 / $843.17 / $1,167.53	Professional		$739.69	$843.17	$1,167.53
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $739.69 / $884.28 / $1,010.24	Professional		$739.69	$884.28	$1,010.24