Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.18 / $250.18 / $250.18	Professional		$250.18	$250.18	$250.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.44 / $830.44 / $830.44	Facility		$830.44	$830.44	$830.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.41 / $1,149.90 / $1,149.90	Professional		$419.41	$1,149.90	$1,149.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,045.35 / $1,094.61 / $1,094.61	Professional		$1,045.35	$1,094.61	$1,094.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $627.22 / $1,045.35 / $1,463.50	Professional		$627.22	$1,045.35	$1,463.50
United Facility/Professional Professional Modifier Low / Median / High Price $512.41 / $830.44 / $1,149.90	Professional		$512.41	$830.44	$1,149.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $457.17 / $842.07 / $994.99	Professional		$457.17	$842.07	$994.99