Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.52 / $303.52 / $303.52	Professional		$303.52	$303.52	$303.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,004.75 / $1,004.75 / $1,004.75	Facility		$1,004.75	$1,004.75	$1,004.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.01 / $626.01 / $1,391.25	Professional		$626.01	$626.01	$1,391.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,264.77 / $1,324.37 / $1,324.37	Professional		$1,264.77	$1,324.37	$1,324.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.86 / $1,264.77 / $1,770.68	Professional		$758.86	$1,264.77	$1,770.68
United Facility/Professional Professional Modifier Low / Median / High Price $573.25 / $1,004.75 / $1,391.25	Professional		$573.25	$1,004.75	$1,391.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $553.13 / $1,018.83 / $1,203.83	Professional		$553.13	$1,018.83	$1,203.83