Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.17 / $168.17 / $168.17	Professional		$168.17	$168.17	$168.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $693.01 / $693.01 / $693.01	Facility		$693.01	$693.01	$693.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.54 / $387.54 / $959.61	Professional		$387.54	$387.54	$959.61
HMSA Facility/Professional Professional Modifier Low / Median / High Price $872.37 / $913.48 / $913.48	Professional		$872.37	$913.48	$913.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $523.41 / $872.37 / $1,221.32	Professional		$523.41	$872.37	$1,221.32
United Facility/Professional Professional Modifier Low / Median / High Price $289.45 / $693.01 / $959.61	Professional		$289.45	$693.01	$959.61
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $381.51 / $702.72 / $830.33	Professional		$381.51	$702.72	$830.33