Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $174.52 / $174.52	Professional		$174.52	$174.52	$174.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.26 / $572.26 / $572.26	Facility		$572.26	$572.26	$572.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.00 / $251.00 / $792.40	Professional		$251.00	$251.00	$792.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $720.36 / $754.30 / $754.30	Professional		$720.36	$754.30	$754.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $432.22 / $720.36 / $1,008.50	Professional		$432.22	$720.36	$1,008.50
United Facility/Professional Professional Modifier Low / Median / High Price $306.66 / $572.26 / $792.40	Professional		$306.66	$572.26	$792.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $315.04 / $580.27 / $685.65	Professional		$315.04	$580.27	$685.65