Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.83 / $213.83 / $213.83	Professional		$213.83	$213.83	$213.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $519.53 / $519.53 / $519.53	Facility		$519.53	$519.53	$519.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.84 / $719.38 / $719.38	Professional		$335.84	$719.38	$719.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $653.98 / $684.80 / $684.80	Professional		$653.98	$684.80	$684.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.39 / $653.98 / $915.57	Professional		$392.39	$653.98	$915.57
United Facility/Professional Professional Modifier Low / Median / High Price $307.54 / $519.53 / $719.38	Professional		$307.54	$519.53	$719.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $286.01 / $526.79 / $622.47	Professional		$286.01	$526.79	$622.47