Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.71 / $185.71 / $185.71	Professional		$185.71	$185.71	$185.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.41 / $555.41 / $555.41	Facility		$555.41	$555.41	$555.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.02 / $297.02 / $769.07	Professional		$297.02	$297.02	$769.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $699.15 / $732.09 / $732.09	Professional		$699.15	$732.09	$732.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $419.49 / $699.15 / $978.81	Professional		$419.49	$699.15	$978.81
United Facility/Professional Professional Modifier Low / Median / High Price $288.95 / $555.41 / $872.00	Professional		$288.95	$555.41	$872.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $467.14 / $582.49 / $665.46	Professional		$467.14	$582.49	$665.46