Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.71 / $208.71 / $208.71	Professional		$208.71	$208.71	$208.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $820.24 / $820.24 / $820.24	Facility		$820.24	$820.24	$820.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.87 / $378.06 / $840.75	Professional		$310.87	$378.06	$840.75
HMSA Facility/Professional Professional Modifier Low / Median / High Price $820.24 / $858.89 / $999.56	Professional		$820.24	$858.89	$999.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $440.61 / $687.89 / $1,070.05	Professional		$440.61	$687.89	$1,070.05
United Facility/Professional Professional Modifier Low / Median / High Price $240.74 / $384.26 / $840.75	Professional		$240.74	$384.26	$840.75
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $198.42 / $631.39 / $725.21	Professional		$198.42	$631.39	$725.21