Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.96 / $199.96 / $199.96	Professional		$199.96	$199.96	$199.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $574.14 / $574.14 / $574.14	Facility		$574.14	$574.14	$574.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.88 / $794.99 / $794.99	Professional		$393.88	$794.99	$794.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $722.72 / $756.77 / $756.77	Professional		$722.72	$756.77	$756.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $433.63 / $722.72 / $1,011.81	Professional		$433.63	$722.72	$1,011.81
United Facility/Professional Professional Modifier Low / Median / High Price $411.23 / $715.49 / $794.99	Professional		$411.23	$715.49	$794.99
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $316.08 / $582.16 / $687.89	Professional		$316.08	$582.16	$687.89