Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.83 / $340.83 / $340.83	Professional		$340.83	$340.83	$340.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $869.32 / $869.32 / $869.32	Facility		$869.32	$869.32	$869.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.50 / $695.50 / $1,203.72	Professional		$695.50	$695.50	$1,203.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,094.29 / $1,145.84 / $1,145.84	Professional		$1,094.29	$1,145.84	$1,145.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $656.57 / $1,094.29 / $1,532.01	Professional		$656.57	$1,094.29	$1,532.01
United Facility/Professional Professional Modifier Low / Median / High Price $636.89 / $869.32 / $1,203.72	Professional		$636.89	$869.32	$1,203.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $478.56 / $881.49 / $1,041.56	Professional		$478.56	$881.49	$1,041.56