Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.68 / $387.68 / $387.68	Professional		$387.68	$387.68	$387.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $855.80 / $855.80 / $855.80	Facility		$855.80	$855.80	$855.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.27 / $937.62 / $1,185.01	Professional		$616.27	$937.62	$1,185.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $254.24 / $254.24 / $254.24	Professional		$254.24	$254.24	$254.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $754.10 / $1,077.28 / $1,508.19	Professional		$754.10	$1,077.28	$1,508.19
United Facility/Professional Professional Modifier Low / Median / High Price $745.30 / $1,007.26 / $1,185.01	Professional		$745.30	$1,007.26	$1,185.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $867.79 / $897.53 / $1,025.36	Professional		$867.79	$897.53	$1,025.36