Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.30 / $211.30 / $211.30	Professional		$211.30	$211.30	$211.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.59 / $391.59 / $391.59	Facility		$391.59	$391.59	$391.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.49 / $444.49 / $542.21	Professional		$444.49	$444.49	$542.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $492.92 / $516.15 / $516.15	Professional		$492.92	$516.15	$516.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.75 / $492.92 / $690.09	Professional		$295.75	$492.92	$690.09
United Facility/Professional Professional Modifier Low / Median / High Price $343.52 / $460.88 / $542.21	Professional		$343.52	$460.88	$542.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $215.57 / $397.07 / $469.17	Professional		$215.57	$397.07	$469.17