Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.00 / $299.20 / $384.00	Facility		$264.00	$299.20	$384.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $384.00 / $384.00	Professional		$384.00	$384.00	$384.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $301.57 / $361.60 / $400.00	Professional		$301.57	$361.60	$400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $352.00 / $384.00 / $448.00	Professional		$352.00	$384.00	$448.00
United Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $384.00 / $480.00	Professional		$320.00	$384.00	$480.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $470.40 / $720.00	Professional		$272.00	$470.40	$720.00