Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.17 / $410.46 / $482.90	Facility		$362.17	$410.46	$482.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Professional		$250.00	$250.00	$250.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.70 / $393.70 / $393.70	Facility		$393.70	$393.70	$393.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.58 / $536.54 / $692.34	Professional		$439.58	$536.54	$692.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $102.47 / $720.38 / $870.93	Professional		$102.47	$720.38	$870.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.47 / $429.24 / $500.78	Professional		$393.47	$429.24	$500.78
United Facility/Professional Professional Modifier Low / Median / High Price $215.46 / $482.90 / $673.11	Professional		$215.46	$482.90	$673.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $443.26 / $643.91 / $1,246.54	Professional		$443.26	$643.91	$1,246.54