Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.46 / $564.46 / $564.46	Professional		$564.46	$564.46	$564.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $945.22 / $945.22 / $945.22	Facility		$945.22	$945.22	$945.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $930.44 / $930.44 / $1,308.82	Professional		$930.44	$930.44	$1,308.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,189.83 / $1,245.91 / $1,245.91	Professional		$1,189.83	$1,245.91	$1,245.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $713.90 / $1,189.83 / $1,665.78	Professional		$713.90	$1,189.83	$1,665.78
United Facility/Professional Professional Modifier Low / Median / High Price $829.19 / $962.09 / $1,308.82	Professional		$829.19	$962.09	$1,308.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $520.35 / $958.46 / $1,132.50	Professional		$520.35	$958.46	$1,132.50