Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.69 / $290.69 / $290.69	Professional		$290.69	$290.69	$290.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $548.17 / $548.17 / $548.17	Facility		$548.17	$548.17	$548.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.16 / $400.16 / $759.06	Professional		$400.16	$400.16	$759.06
HMSA Facility/Professional Professional Modifier Low / Median / High Price $690.05 / $722.57 / $722.57	Professional		$690.05	$722.57	$722.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $414.03 / $690.05 / $966.07	Professional		$414.03	$690.05	$966.07
United Facility/Professional Professional Modifier Low / Median / High Price $480.91 / $548.17 / $860.64	Professional		$480.91	$548.17	$860.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $301.77 / $555.86 / $656.80	Professional		$301.77	$555.86	$656.80