Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.69 / $529.69 / $529.69	Professional		$529.69	$529.69	$529.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,077.51 / $1,077.51 / $1,077.51	Facility		$1,077.51	$1,077.51	$1,077.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,200.11 / $1,200.11 / $1,492.01	Professional		$1,200.11	$1,200.11	$1,492.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,356.37 / $1,420.28 / $1,420.28	Professional		$1,356.37	$1,420.28	$1,420.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $813.82 / $1,356.37 / $1,898.92	Professional		$813.82	$1,356.37	$1,898.92
United Facility/Professional Professional Modifier Low / Median / High Price $945.26 / $1,198.49 / $1,492.01	Professional		$945.26	$1,198.49	$1,492.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $593.19 / $1,092.59 / $1,291.01	Professional		$593.19	$1,092.59	$1,291.01