Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.05 / $376.05 / $376.05	Professional		$376.05	$376.05	$376.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $813.85 / $813.85 / $813.85	Facility		$813.85	$813.85	$813.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.20 / $572.20 / $1,126.90	Professional		$572.20	$572.20	$1,126.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,024.45 / $1,072.72 / $1,072.72	Professional		$1,024.45	$1,072.72	$1,072.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $614.66 / $1,024.45 / $1,434.23	Professional		$614.66	$1,024.45	$1,434.23
United Facility/Professional Professional Modifier Low / Median / High Price $585.91 / $813.85 / $1,126.90	Professional		$585.91	$813.85	$1,126.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $448.04 / $825.24 / $975.09	Professional		$448.04	$825.24	$975.09