Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.07 / $541.80 / $695.38	Facility		$478.07	$541.80	$695.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.92 / $695.38 / $695.38	Professional		$429.92	$695.38	$695.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $942.45 / $1,243.07 / $1,454.69	Professional		$942.45	$1,243.07	$1,454.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $579.48 / $695.38 / $869.22	Professional		$579.48	$695.38	$869.22
United Facility/Professional Professional Modifier Low / Median / High Price $243.38 / $695.38 / $1,125.08	Professional		$243.38	$695.38	$1,125.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $649.02 / $1,052.69 / $1,457.57	Professional		$649.02	$1,052.69	$1,457.57