Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.12 / $211.12 / $211.12	Professional		$211.12	$211.12	$211.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $840.98 / $840.98 / $840.98	Facility		$840.98	$840.98	$840.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.63 / $290.63 / $1,164.48	Professional		$290.63	$290.63	$1,164.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,058.61 / $1,108.50 / $1,108.50	Professional		$1,058.61	$1,108.50	$1,108.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $635.16 / $1,058.61 / $1,482.07	Professional		$635.16	$1,058.61	$1,482.07
United Facility/Professional Professional Modifier Low / Median / High Price $355.08 / $840.98 / $1,164.48	Professional		$355.08	$840.98	$1,164.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $462.97 / $661.39 / $1,007.61	Professional		$462.97	$661.39	$1,007.61