Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.11 / $185.11 / $185.11	Professional		$185.11	$185.11	$185.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $651.39 / $651.39 / $651.39	Facility		$651.39	$651.39	$651.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.55 / $352.55 / $901.95	Professional		$352.55	$352.55	$901.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $819.95 / $858.59 / $858.59	Professional		$819.95	$858.59	$858.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $491.97 / $819.95 / $1,147.93	Professional		$491.97	$819.95	$1,147.93
United Facility/Professional Professional Modifier Low / Median / High Price $351.08 / $651.39 / $901.95	Professional		$351.08	$651.39	$901.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $358.61 / $512.29 / $780.44	Professional		$358.61	$512.29	$780.44