Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.28 / $190.28 / $190.28	Professional		$190.28	$190.28	$190.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $635.46 / $635.46 / $635.46	Facility		$635.46	$635.46	$635.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.57 / $373.57 / $879.91	Professional		$373.57	$373.57	$879.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $799.92 / $837.61 / $837.61	Professional		$799.92	$837.61	$837.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $551.14 / $799.92 / $1,119.89	Professional		$551.14	$799.92	$1,119.89
United Facility/Professional Facility Modifier Low / Median / High Price $276.36 / $276.36 / $279.31	Facility		$276.36	$276.36	$279.31
United Facility/Professional Professional Modifier Low / Median / High Price $464.75 / $635.46 / $879.91	Professional		$464.75	$635.46	$879.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $349.83 / $644.36 / $761.37	Professional		$349.83	$644.36	$761.37