Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.23 / $204.23 / $204.23	Professional		$204.23	$204.23	$204.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.90 / $705.90 / $705.90	Facility		$705.90	$705.90	$705.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.35 / $373.35 / $977.45	Professional		$373.35	$373.35	$977.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $888.59 / $930.46 / $930.46	Professional		$888.59	$930.46	$930.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $533.15 / $888.59 / $1,244.03	Professional		$533.15	$888.59	$1,244.03
United Facility/Professional Professional Modifier Low / Median / High Price $399.17 / $705.90 / $977.45	Professional		$399.17	$705.90	$977.45
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $388.61 / $715.79 / $845.77	Professional		$388.61	$715.79	$845.77