Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.88 / $250.88 / $250.88	Professional		$250.88	$250.88	$250.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.26 / $616.26 / $616.26	Facility		$616.26	$616.26	$616.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.91 / $394.91 / $853.31	Professional		$394.91	$394.91	$853.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $775.74 / $812.29 / $812.29	Professional		$775.74	$812.29	$812.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $465.44 / $775.74 / $1,086.04	Professional		$465.44	$775.74	$1,086.04
United Facility/Professional Professional Modifier Low / Median / High Price $447.24 / $616.26 / $853.31	Professional		$447.24	$616.26	$853.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $339.25 / $624.89 / $738.36	Professional		$339.25	$624.89	$738.36