Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.80 / $175.80 / $175.80	Professional		$175.80	$175.80	$175.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.15 / $555.15 / $555.15	Facility		$555.15	$555.15	$555.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.46 / $347.46 / $768.69	Professional		$347.46	$347.46	$768.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $698.81 / $731.74 / $731.74	Professional		$698.81	$731.74	$731.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $419.29 / $698.81 / $978.33	Professional		$419.29	$698.81	$978.33
United Facility/Professional Professional Modifier Low / Median / High Price $394.24 / $555.15 / $768.69	Professional		$394.24	$555.15	$768.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $562.91 / $582.21 / $665.14	Professional		$562.91	$582.21	$665.14