Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.57 / $226.57 / $226.57	Professional		$226.57	$226.57	$226.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.71 / $528.71 / $528.71	Facility		$528.71	$528.71	$528.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.63 / $380.63 / $732.11	Professional		$380.63	$380.63	$732.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $665.55 / $696.91 / $696.91	Professional		$665.55	$696.91	$696.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $399.33 / $665.55 / $931.77	Professional		$399.33	$665.55	$931.77
United Facility/Professional Professional Modifier Low / Median / High Price $356.92 / $528.71 / $732.11	Professional		$356.92	$528.71	$732.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $536.12 / $554.50 / $633.48	Professional		$536.12	$554.50	$633.48