Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.69 / $217.69 / $217.69	Professional		$217.69	$217.69	$217.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $594.17 / $594.17 / $594.17	Facility		$594.17	$594.17	$594.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.30 / $822.75 / $822.75	Professional		$324.30	$822.75	$822.75
HMSA Facility/Professional Professional Modifier Low / Median / High Price $747.95 / $783.19 / $783.19	Professional		$747.95	$783.19	$783.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $448.77 / $747.95 / $1,047.13	Professional		$448.77	$747.95	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $396.22 / $594.17 / $822.75	Professional		$396.22	$594.17	$822.75
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $327.10 / $602.50 / $711.91	Professional		$327.10	$602.50	$711.91