Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.27 / $251.27 / $251.27	Professional		$251.27	$251.27	$251.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $914.18 / $914.18 / $914.18	Facility		$914.18	$914.18	$914.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.25 / $427.25 / $1,265.83	Professional		$427.25	$427.25	$1,265.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,150.75 / $1,204.97 / $1,204.97	Professional		$1,150.75	$1,204.97	$1,204.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $690.45 / $1,150.75 / $1,611.05	Professional		$690.45	$1,150.75	$1,611.05
United Facility/Professional Professional Modifier Low / Median / High Price $459.81 / $914.18 / $1,265.83	Professional		$459.81	$914.18	$1,265.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $503.27 / $926.98 / $1,095.30	Professional		$503.27	$926.98	$1,095.30