Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.39 / $219.39 / $219.39	Professional		$219.39	$219.39	$219.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $757.37 / $757.37 / $757.37	Facility		$757.37	$757.37	$757.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.20 / $1,048.71 / $1,048.71	Professional		$386.20	$1,048.71	$1,048.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $953.37 / $998.29 / $998.29	Professional		$953.37	$998.29	$998.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $572.02 / $953.37 / $1,334.72	Professional		$572.02	$953.37	$1,334.72
United Facility/Professional Professional Modifier Low / Median / High Price $353.65 / $757.37 / $1,048.71	Professional		$353.65	$757.37	$1,048.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $767.98 / $794.30 / $907.44	Professional		$767.98	$794.30	$907.44