Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.65 / $165.65 / $165.65	Professional		$165.65	$165.65	$165.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.43 / $702.43 / $702.43	Facility		$702.43	$702.43	$702.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.62 / $297.62 / $972.63	Professional		$297.62	$297.62	$972.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $884.21 / $925.87 / $925.87	Professional		$884.21	$925.87	$925.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $530.53 / $884.21 / $1,237.89	Professional		$530.53	$884.21	$1,237.89
United Facility/Professional Professional Modifier Low / Median / High Price $363.62 / $702.43 / $972.63	Professional		$363.62	$702.43	$972.63
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $386.70 / $712.27 / $841.61	Professional		$386.70	$712.27	$841.61