Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.84 / $225.84 / $225.84	Professional		$225.84	$225.84	$225.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $817.12 / $817.12 / $817.12	Facility		$817.12	$817.12	$817.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.18 / $452.18 / $1,131.47	Professional		$452.18	$452.18	$1,131.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,028.60 / $1,077.08 / $1,077.08	Professional		$1,028.60	$1,077.08	$1,077.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $617.16 / $1,028.60 / $1,440.05	Professional		$617.16	$1,028.60	$1,440.05
United Facility/Professional Professional Modifier Low / Median / High Price $469.17 / $817.12 / $1,131.47	Professional		$469.17	$817.12	$1,131.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $449.83 / $828.57 / $979.04	Professional		$449.83	$828.57	$979.04