Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.30 / $210.30 / $210.30	Professional		$210.30	$210.30	$210.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $557.95 / $557.95 / $557.95	Facility		$557.95	$557.95	$557.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.58 / $493.58 / $772.59	Professional		$493.58	$493.58	$772.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $702.35 / $735.44 / $735.44	Professional		$702.35	$735.44	$735.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.41 / $702.35 / $983.29	Professional		$421.41	$702.35	$983.29
United Facility/Professional Professional Modifier Low / Median / High Price $451.99 / $557.95 / $772.59	Professional		$451.99	$557.95	$772.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $307.14 / $565.77 / $668.51	Professional		$307.14	$565.77	$668.51