Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.62 / $334.62 / $348.13	Professional		$334.62	$334.62	$348.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $662.31 / $662.31 / $662.31	Facility		$662.31	$662.31	$662.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.88 / $372.88 / $917.09	Professional		$372.88	$372.88	$917.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $833.72 / $873.00 / $873.00	Professional		$833.72	$873.00	$873.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $500.23 / $833.72 / $1,167.21	Professional		$500.23	$833.72	$1,167.21
United Facility/Professional Professional Modifier Low / Median / High Price $425.35 / $825.38 / $917.09	Professional		$425.35	$825.38	$917.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $364.61 / $671.59 / $793.55	Professional		$364.61	$671.59	$793.55