Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.26 / $259.26 / $259.26	Professional		$259.26	$259.26	$259.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $693.67 / $693.67 / $693.67	Facility		$693.67	$693.67	$693.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.56 / $448.56 / $960.52	Professional		$448.56	$448.56	$960.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $873.20 / $914.35 / $914.35	Professional		$873.20	$914.35	$914.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $523.91 / $873.20 / $1,222.48	Professional		$523.91	$873.20	$1,222.48
United Facility/Professional Professional Modifier Low / Median / High Price $538.60 / $693.67 / $960.52	Professional		$538.60	$693.67	$960.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $381.87 / $703.39 / $831.12	Professional		$381.87	$703.39	$831.12