Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.55 / $287.55 / $287.55	Professional		$287.55	$287.55	$287.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $971.27 / $971.27 / $971.27	Facility		$971.27	$971.27	$971.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.57 / $485.57 / $1,344.89	Professional		$485.57	$485.57	$1,344.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,222.63 / $1,280.24 / $1,280.24	Professional		$1,222.63	$1,280.24	$1,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $733.58 / $1,222.63 / $1,711.68	Professional		$733.58	$1,222.63	$1,711.68
United Facility/Professional Professional Modifier Low / Median / High Price $573.04 / $1,210.40 / $1,344.89	Professional		$573.04	$1,210.40	$1,344.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $534.70 / $984.87 / $1,163.71	Professional		$534.70	$984.87	$1,163.71