Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.17 / $642.17 / $642.17	Facility		$642.17	$642.17	$642.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $431.89	Professional		$392.63	$392.63	$431.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.17 / $642.17 / $642.17	Facility		$642.17	$642.17	$642.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.24 / $392.63 / $448.52	Professional		$381.24	$392.63	$448.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $465.34 / $465.34 / $465.34	Professional		$465.34	$465.34	$465.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $471.15 / $588.94	Professional		$392.63	$471.15	$588.94
United Facility/Professional Professional Modifier Low / Median / High Price $381.24 / $392.63 / $588.95	Professional		$381.24	$392.63	$588.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $198.76 / $354.62 / $452.26	Professional		$198.76	$354.62	$452.26