Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.81 / $239.81 / $239.81	Professional		$239.81	$239.81	$239.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.33 / $537.33 / $537.33	Facility		$537.33	$537.33	$537.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.50 / $437.50 / $744.03	Professional		$437.50	$437.50	$744.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $676.39 / $708.26 / $708.26	Professional		$676.39	$708.26	$708.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.47 / $676.39 / $946.95	Professional		$473.47	$676.39	$946.95
United Facility/Professional Professional Modifier Low / Median / High Price $461.03 / $632.41 / $744.03	Professional		$461.03	$632.41	$744.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $544.86 / $563.53 / $643.79	Professional		$544.86	$563.53	$643.79