Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.09 / $183.09 / $183.09	Professional		$183.09	$183.09	$183.09
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 $382.03 / $382.03 / $672.75	Professional		$382.03	$382.03	$672.75
HMSA Facility/Professional Professional Modifier Low / Median / High Price $611.59 / $640.41 / $640.41	Professional		$611.59	$640.41	$640.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $428.11 / $611.59 / $856.23	Professional		$428.11	$611.59	$856.23
United Facility/Professional Professional Modifier Low / Median / High Price $381.12 / $555.15 / $672.75	Professional		$381.12	$555.15	$672.75
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $551.28 / $562.91 / $587.12	Professional		$551.28	$562.91	$587.12