Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.12 / $276.12 / $276.12	Professional		$276.12	$276.12	$276.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.08 / $851.08 / $851.08	Facility		$851.08	$851.08	$851.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $644.36 / $644.36 / $1,178.46	Professional		$644.36	$644.36	$1,178.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,071.33 / $1,121.81 / $1,121.81	Professional		$1,071.33	$1,121.81	$1,121.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $642.79 / $1,071.33 / $1,499.86	Professional		$642.79	$1,071.33	$1,499.86
United Facility/Professional Professional Modifier Low / Median / High Price $579.76 / $851.08 / $1,178.46	Professional		$579.76	$851.08	$1,178.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $468.54 / $863.00 / $1,019.71	Professional		$468.54	$863.00	$1,019.71