Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.69 / $311.69 / $311.69	Professional		$311.69	$311.69	$311.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $936.24 / $936.24 / $936.24	Facility		$936.24	$936.24	$936.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.01 / $420.01 / $1,296.41	Professional		$420.01	$420.01	$1,296.41
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,178.55 / $1,234.08 / $1,234.08	Professional		$1,178.55	$1,234.08	$1,234.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.13 / $1,178.55 / $1,649.97	Professional		$707.13	$1,178.55	$1,649.97
United Facility/Professional Professional Modifier Low / Median / High Price $513.15 / $936.24 / $1,296.41	Professional		$513.15	$936.24	$1,296.41
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $515.41 / $949.36 / $1,121.76	Professional		$515.41	$949.36	$1,121.76