Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.68 / $265.68 / $276.42	Professional		$265.68	$265.68	$276.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $704.18 / $704.18 / $704.18	Facility		$704.18	$704.18	$704.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.03 / $345.03 / $975.05	Professional		$345.03	$345.03	$975.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $886.41 / $928.18 / $928.18	Professional		$886.41	$928.18	$928.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $531.85 / $886.41 / $1,240.97	Professional		$531.85	$886.41	$1,240.97
United Facility/Professional Professional Modifier Low / Median / High Price $337.72 / $704.18 / $975.05	Professional		$337.72	$704.18	$975.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $387.66 / $714.04 / $843.69	Professional		$387.66	$714.04	$843.69