Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $790.33	Professional		$575.50	$575.50	$790.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $789.72	Professional		$575.50	$575.50	$789.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $960.83 / $960.83 / $960.83	Professional		$960.83	$960.83	$960.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $690.60 / $805.70	Professional		$575.50	$690.60	$805.70
United Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $610.03 / $863.25	Professional		$575.50	$610.03	$863.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $362.24 / $602.51 / $848.95	Professional		$362.24	$602.51	$848.95