Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.22 / $217.22 / $217.22	Professional		$217.22	$217.22	$217.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.33 / $758.33 / $758.33	Facility		$758.33	$758.33	$758.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.44 / $364.44 / $1,050.05	Professional		$364.44	$364.44	$1,050.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $954.59 / $999.57 / $999.57	Professional		$954.59	$999.57	$999.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $572.75 / $954.59 / $1,336.43	Professional		$572.75	$954.59	$1,336.43
United Facility/Professional Professional Modifier Low / Median / High Price $394.83 / $758.33 / $1,190.59	Professional		$394.83	$758.33	$1,190.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $417.47 / $768.96 / $908.60	Professional		$417.47	$768.96	$908.60