Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.25 / $258.25 / $258.25	Professional		$258.25	$258.25	$258.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.99 / $730.99 / $730.99	Facility		$730.99	$730.99	$730.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.81 / $1,012.19 / $1,012.19	Professional		$503.81	$1,012.19	$1,012.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $920.17 / $963.53 / $963.53	Professional		$920.17	$963.53	$963.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $552.10 / $920.17 / $1,288.24	Professional		$552.10	$920.17	$1,288.24
United Facility/Professional Professional Modifier Low / Median / High Price $461.35 / $730.99 / $1,012.19	Professional		$461.35	$730.99	$1,012.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $402.42 / $741.23 / $875.83	Professional		$402.42	$741.23	$875.83