Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.39 / $258.39 / $258.39	Professional		$258.39	$258.39	$258.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.05 / $444.05 / $444.05	Facility		$444.05	$444.05	$444.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.53 / $329.53 / $614.87	Professional		$329.53	$329.53	$614.87
HMSA Facility/Professional Professional Modifier Low / Median / High Price $558.97 / $585.30 / $585.30	Professional		$558.97	$585.30	$585.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $335.38 / $558.97 / $782.56	Professional		$335.38	$558.97	$782.56
United Facility/Professional Professional Modifier Low / Median / High Price $389.55 / $444.05 / $614.87	Professional		$389.55	$444.05	$614.87
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $244.46 / $450.27 / $532.04	Professional		$244.46	$450.27	$532.04