Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.94 / $166.94 / $166.94	Professional		$166.94	$166.94	$166.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $652.69 / $652.69 / $652.69	Facility		$652.69	$652.69	$652.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.26 / $279.26 / $903.76	Professional		$279.26	$279.26	$903.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $821.60 / $860.31 / $860.31	Professional		$821.60	$860.31	$860.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $492.96 / $821.60 / $1,150.24	Professional		$492.96	$821.60	$1,150.24
United Facility/Professional Professional Modifier Low / Median / High Price $255.71 / $652.69 / $903.76	Professional		$255.71	$652.69	$903.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $359.32 / $661.83 / $782.01	Professional		$359.32	$661.83	$782.01