Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.47 / $307.47 / $307.47	Professional		$307.47	$307.47	$307.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $717.47 / $717.47 / $717.47	Facility		$717.47	$717.47	$717.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.88 / $576.88 / $993.45	Professional		$576.88	$576.88	$993.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $903.14 / $945.70 / $945.70	Professional		$903.14	$945.70	$945.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $541.88 / $903.14 / $1,264.40	Professional		$541.88	$903.14	$1,264.40
United Facility/Professional Professional Modifier Low / Median / High Price $629.41 / $717.47 / $993.45	Professional		$629.41	$717.47	$993.45
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $727.52 / $752.45 / $859.62	Professional		$727.52	$752.45	$859.62