Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.91 / $193.91 / $193.91	Professional		$193.91	$193.91	$193.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.79 / $551.79 / $551.79	Facility		$551.79	$551.79	$551.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.09 / $402.09 / $764.07	Professional		$402.09	$402.09	$764.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $694.61 / $727.34 / $727.34	Professional		$694.61	$727.34	$727.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.77 / $694.61 / $972.45	Professional		$416.77	$694.61	$972.45
United Facility/Professional Professional Modifier Low / Median / High Price $402.83 / $551.79 / $764.07	Professional		$402.83	$551.79	$764.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $303.77 / $559.53 / $661.14	Professional		$303.77	$559.53	$661.14