Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.93 / $351.93 / $351.93	Professional		$351.93	$351.93	$351.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.53 / $977.53 / $977.53	Facility		$977.53	$977.53	$977.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.09 / $694.09 / $1,353.57	Professional		$694.09	$694.09	$1,353.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,230.52 / $1,288.50 / $1,288.50	Professional		$1,230.52	$1,288.50	$1,288.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $738.31 / $1,230.52 / $1,722.73	Professional		$738.31	$1,230.52	$1,722.73
United Facility/Professional Professional Modifier Low / Median / High Price $796.28 / $977.53 / $1,534.73	Professional		$796.28	$977.53	$1,534.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $538.14 / $991.22 / $1,171.23	Professional		$538.14	$991.22	$1,171.23