Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.29 / $246.29 / $246.29	Professional		$246.29	$246.29	$246.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.46 / $542.46 / $542.46	Facility		$542.46	$542.46	$542.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.79 / $418.79 / $751.11	Professional		$418.79	$418.79	$751.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $682.83 / $715.00 / $715.00	Professional		$682.83	$715.00	$715.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $409.70 / $682.83 / $955.96	Professional		$409.70	$682.83	$955.96
United Facility/Professional Professional Modifier Low / Median / High Price $475.87 / $557.26 / $751.11	Professional		$475.87	$557.26	$751.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $298.63 / $550.04 / $649.92	Professional		$298.63	$550.04	$649.92