Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.73 / $322.73 / $322.73	Professional		$322.73	$322.73	$322.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.37 / $425.37 / $425.37	Facility		$425.37	$425.37	$425.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $589.00 / $589.44 / $589.44	Professional		$589.00	$589.44	$589.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $535.45 / $560.67 / $560.67	Professional		$535.45	$560.67	$560.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.27 / $535.45 / $749.63	Professional		$321.27	$535.45	$749.63
United Facility/Professional Professional Modifier Low / Median / High Price $373.15 / $530.10 / $657.05	Professional		$373.15	$530.10	$657.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $234.17 / $431.33 / $509.65	Professional		$234.17	$431.33	$509.65