Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.37 / $411.37 / $427.99	Professional		$411.37	$411.37	$427.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $678.82 / $678.82 / $678.82	Facility		$678.82	$678.82	$678.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.00 / $460.00 / $939.95	Professional		$460.00	$460.00	$939.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $854.50 / $894.76 / $894.76	Professional		$854.50	$894.76	$894.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.70 / $854.50 / $1,196.30	Professional		$512.70	$854.50	$1,196.30
United Facility/Professional Professional Modifier Low / Median / High Price $522.90 / $678.82 / $939.95	Professional		$522.90	$678.82	$939.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $373.70 / $688.32 / $813.32	Professional		$373.70	$688.32	$813.32