Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.62 / $465.62 / $465.62	Professional		$465.62	$465.62	$465.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,006.55 / $1,006.55 / $1,006.55	Facility		$1,006.55	$1,006.55	$1,006.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.63 / $724.63 / $1,393.74	Professional		$724.63	$724.63	$1,393.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,267.04 / $1,326.74 / $1,326.74	Professional		$1,267.04	$1,326.74	$1,326.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.22 / $1,267.04 / $1,773.86	Professional		$760.22	$1,267.04	$1,773.86
United Facility/Professional Professional Modifier Low / Median / High Price $768.99 / $1,006.55 / $1,393.74	Professional		$768.99	$1,006.55	$1,393.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $883.00 / $1,055.61 / $1,205.98	Professional		$883.00	$1,055.61	$1,205.98