Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.59 / $615.59 / $640.45	Professional		$615.59	$615.59	$640.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $636.97 / $636.97 / $636.97	Facility		$636.97	$636.97	$636.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.97 / $636.97 / $973.58	Professional		$636.97	$636.97	$973.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $885.07 / $926.77 / $926.77	Professional		$885.07	$926.77	$926.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $619.54 / $885.07 / $1,239.09	Professional		$619.54	$885.07	$1,239.09
United Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $876.22 / $973.58	Professional		$526.41	$876.22	$973.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $794.30 / $840.73 / $849.98	Professional		$794.30	$840.73	$849.98