Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.90 / $378.90 / $378.90	Facility		$378.90	$378.90	$378.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.25 / $219.25 / $228.11	Professional		$219.25	$219.25	$228.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.80 / $491.80 / $491.80	Facility		$491.80	$491.80	$491.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.36 / $233.36 / $680.98	Professional		$233.36	$233.36	$680.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $619.07 / $648.24 / $648.24	Professional		$619.07	$648.24	$648.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.44 / $619.07 / $866.70	Professional		$371.44	$619.07	$866.70
United Facility/Professional Professional Modifier Low / Median / High Price $225.56 / $578.83 / $680.98	Professional		$225.56	$578.83	$680.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $376.63 / $498.69 / $589.24	Professional		$376.63	$498.69	$589.24