Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $981.90 / $981.90 / $981.90	Facility		$981.90	$981.90	$981.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.26 / $518.26 / $684.09	Professional		$518.26	$518.26	$684.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $981.89 / $981.89 / $981.89	Facility		$981.89	$981.89	$981.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $498.14	Professional		$498.14	$498.14	$498.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $720.77 / $720.77 / $720.77	Professional		$720.77	$720.77	$720.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $547.95 / $597.76 / $697.39	Professional		$547.95	$597.76	$697.39
United Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $592.41 / $747.21	Professional		$498.14	$592.41	$747.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $490.95 / $597.35 / $636.85	Professional		$490.95	$597.35	$636.85