Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.25 / $367.25 / $367.25	Professional		$367.25	$367.25	$367.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,237.71 / $1,237.71 / $1,237.71	Facility		$1,237.71	$1,237.71	$1,237.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $596.58 / $1,713.84 / $1,713.84	Professional		$596.58	$1,713.84	$1,713.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,558.04 / $1,631.45 / $1,631.45	Professional		$1,558.04	$1,631.45	$1,631.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $934.82 / $1,558.04 / $2,181.26	Professional		$934.82	$1,558.04	$2,181.26
United Facility/Professional Facility Modifier Low / Median / High Price $629.41 / $629.41 / $645.90	Facility		$629.41	$629.41	$645.90
United Facility/Professional Professional Modifier Low / Median / High Price $728.88 / $1,237.71 / $1,713.84	Professional		$728.88	$1,237.71	$1,713.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $681.37 / $1,255.05 / $1,482.96	Professional		$681.37	$1,255.05	$1,482.96