Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.51 / $260.51 / $260.51	Professional		$260.51	$260.51	$260.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.50 / $551.50 / $551.50	Facility		$551.50	$551.50	$551.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.59 / $458.59 / $763.64	Professional		$458.59	$458.59	$763.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $694.22 / $726.93 / $726.93	Professional		$694.22	$726.93	$726.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.53 / $694.22 / $971.91	Professional		$416.53	$694.22	$971.91
United Facility/Professional Professional Modifier Low / Median / High Price $464.08 / $589.45 / $763.64	Professional		$464.08	$589.45	$763.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $303.60 / $559.22 / $660.77	Professional		$303.60	$559.22	$660.77