Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.90 / $255.90 / $255.90	Professional		$255.90	$255.90	$255.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.65 / $450.65 / $450.65	Facility		$450.65	$450.65	$450.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.92 / $410.92 / $624.00	Professional		$410.92	$410.92	$624.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $567.27 / $594.00 / $594.00	Professional		$567.27	$594.00	$594.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $340.36 / $567.27 / $794.18	Professional		$340.36	$567.27	$794.18
United Facility/Professional Professional Modifier Low / Median / High Price $395.34 / $530.40 / $624.00	Professional		$395.34	$530.40	$624.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $248.10 / $456.96 / $539.92	Professional		$248.10	$456.96	$539.92