Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.73 / $294.73 / $294.73	Professional		$294.73	$294.73	$294.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $932.00 / $932.00 / $932.00	Facility		$932.00	$932.00	$932.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.74 / $528.74 / $1,290.51	Professional		$528.74	$528.74	$1,290.51
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,173.19 / $1,228.47 / $1,228.47	Professional		$1,173.19	$1,228.47	$1,228.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $703.91 / $1,173.19 / $1,642.47	Professional		$703.91	$1,173.19	$1,642.47
United Facility/Professional Professional Modifier Low / Median / High Price $612.29 / $932.00 / $1,290.51	Professional		$612.29	$932.00	$1,290.51
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $945.05 / $977.44 / $1,116.66	Professional		$945.05	$977.44	$1,116.66