Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.47 / $217.47 / $217.47	Professional		$217.47	$217.47	$217.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $845.31 / $845.31 / $845.31	Facility		$845.31	$845.31	$845.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.78 / $400.78 / $1,170.47	Professional		$400.78	$400.78	$1,170.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,064.06 / $1,114.20 / $1,114.20	Professional		$1,064.06	$1,114.20	$1,114.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.44 / $1,064.06 / $1,489.68	Professional		$638.44	$1,064.06	$1,489.68
United Facility/Professional Professional Modifier Low / Median / High Price $492.06 / $845.31 / $1,170.47	Professional		$492.06	$845.31	$1,170.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $465.36 / $857.15 / $1,012.79	Professional		$465.36	$857.15	$1,012.79