Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.68 / $321.68 / $321.68	Professional		$321.68	$321.68	$321.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,286.39 / $1,286.39 / $1,286.39	Facility		$1,286.39	$1,286.39	$1,286.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.94 / $612.94 / $1,781.21	Professional		$612.94	$612.94	$1,781.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,619.28 / $1,695.58 / $1,695.58	Professional		$1,619.28	$1,695.58	$1,695.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $971.57 / $1,619.28 / $2,266.98	Professional		$971.57	$1,619.28	$2,266.98
United Facility/Professional Facility Modifier Low / Median / High Price $592.20 / $592.20 / $592.20	Facility		$592.20	$592.20	$592.20
United Facility/Professional Professional Modifier Low / Median / High Price $668.27 / $1,286.39 / $1,781.21	Professional		$668.27	$1,286.39	$1,781.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $708.17 / $1,304.40 / $1,541.26	Professional		$708.17	$1,304.40	$1,541.26