Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $710.98 / $710.98 / $710.98	Facility		$710.98	$710.98	$710.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $710.98 / $710.98 / $710.98	Facility		$710.98	$710.98	$710.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $392.06	Professional		$392.06	$392.06	$392.06
HMSA Facility/Professional Professional Modifier Low / Median / High Price $559.04 / $559.04 / $659.68	Professional		$559.04	$559.04	$659.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $431.27 / $470.48 / $548.89	Professional		$431.27	$470.48	$548.89
United Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $459.49 / $588.09	Professional		$392.06	$459.49	$588.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $126.10 / $377.15 / $463.32	Professional		$126.10	$377.15	$463.32