Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.51 / $135.51 / $135.51	Professional		$135.51	$135.51	$135.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $539.57 / $539.57 / $539.57	Facility		$539.57	$539.57	$539.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.51 / $135.51 / $747.12	Professional		$135.51	$135.51	$747.12
HMSA Facility/Professional Professional Modifier Low / Median / High Price $679.20 / $711.20 / $711.20	Professional		$679.20	$711.20	$711.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.52 / $679.20 / $950.88	Professional		$407.52	$679.20	$950.88
United Facility/Professional Professional Modifier Low / Median / High Price $165.56 / $539.57 / $747.12	Professional		$165.56	$539.57	$747.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $297.05 / $547.12 / $646.47	Professional		$297.05	$547.12	$646.47