Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.46 / $984.46 / $984.46	Facility		$984.46	$984.46	$984.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.25 / $550.64 / $726.83	Professional		$529.25	$550.64	$726.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $984.46 / $984.46 / $984.46	Facility		$984.46	$984.46	$984.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Professional		$529.26	$529.26	$529.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $768.51 / $768.51 / $768.51	Professional		$768.51	$768.51	$768.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $582.17 / $635.11 / $740.96	Professional		$582.17	$635.11	$740.96
United Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $631.65 / $793.89	Professional		$529.26	$631.65	$793.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $524.02 / $625.88 / $679.03	Professional		$524.02	$625.88	$679.03