Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.03 / $234.03 / $234.03	Professional		$234.03	$234.03	$234.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.69 / $509.69 / $509.69	Facility		$509.69	$509.69	$509.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.94 / $397.94 / $705.76	Professional		$397.94	$397.94	$705.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $641.60 / $671.83 / $671.83	Professional		$641.60	$671.83	$671.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $384.96 / $641.60 / $898.24	Professional		$384.96	$641.60	$898.24
United Facility/Professional Professional Modifier Low / Median / High Price $447.13 / $509.69 / $705.76	Professional		$447.13	$509.69	$705.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $280.60 / $516.82 / $610.67	Professional		$280.60	$516.82	$610.67