Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.99 / $254.99 / $254.99	Professional		$254.99	$254.99	$254.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $836.50 / $836.50 / $836.50	Facility		$836.50	$836.50	$836.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.58 / $500.58 / $1,158.28	Professional		$500.58	$500.58	$1,158.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,052.98 / $1,102.59 / $1,102.59	Professional		$1,052.98	$1,102.59	$1,102.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $631.79 / $1,052.98 / $1,474.17	Professional		$631.79	$1,052.98	$1,474.17
United Facility/Professional Professional Modifier Low / Median / High Price $529.73 / $836.50 / $1,158.28	Professional		$529.73	$836.50	$1,158.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $460.51 / $848.21 / $1,002.24	Professional		$460.51	$848.21	$1,002.24