Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.79 / $304.62 / $390.96	Facility		$268.79	$304.62	$390.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.48 / $390.96 / $390.96	Professional		$91.48	$390.96	$390.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $247.36 / $276.93 / $341.15	Professional		$247.36	$276.93	$341.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $325.80 / $390.96 / $488.70	Professional		$325.80	$390.96	$488.70
United Facility/Professional Professional Modifier Low / Median / High Price $136.84 / $390.96 / $488.70	Professional		$136.84	$390.96	$488.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $228.06 / $384.94 / $586.44	Professional		$228.06	$384.94	$586.44