Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $486.20 / $624.00	Facility		$429.00	$486.20	$624.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.00 / $624.00 / $624.00	Professional		$624.00	$624.00	$624.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $490.05 / $544.50 / $650.00	Professional		$490.05	$544.50	$650.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $572.00 / $624.00 / $728.00	Professional		$572.00	$624.00	$728.00
United Facility/Professional Professional Modifier Low / Median / High Price $520.00 / $624.00 / $780.00	Professional		$520.00	$624.00	$780.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $364.00 / $650.00 / $936.00	Professional		$364.00	$650.00	$936.00