Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.70 / $663.70 / $663.70	Facility		$663.70	$663.70	$663.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.06 / $391.07 / $430.18	Professional		$391.06	$391.07	$430.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.69 / $663.69 / $663.69	Facility		$663.69	$663.69	$663.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.07 / $391.07 / $435.30	Professional		$383.07	$391.07	$435.30
HMSA Facility/Professional Professional Modifier Low / Median / High Price $451.62 / $451.62 / $451.62	Professional		$451.62	$451.62	$451.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $469.28 / $586.61	Professional		$391.07	$469.28	$586.61
United Facility/Professional Professional Modifier Low / Median / High Price $371.52 / $391.07 / $586.61	Professional		$371.52	$391.07	$586.61
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $331.83 / $409.46 / $467.95	Professional		$331.83	$409.46	$467.95