Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.34 / $208.34 / $208.34	Professional		$208.34	$208.34	$208.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $685.90 / $685.90 / $685.90	Facility		$685.90	$685.90	$685.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.04 / $419.04 / $949.77	Professional		$419.04	$419.04	$949.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $863.43 / $904.11 / $904.11	Professional		$863.43	$904.11	$904.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $518.05 / $863.43 / $1,208.80	Professional		$518.05	$863.43	$1,208.80
United Facility/Professional Professional Modifier Low / Median / High Price $379.76 / $685.90 / $949.77	Professional		$379.76	$685.90	$949.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $377.59 / $695.51 / $821.82	Professional		$377.59	$695.51	$821.82