Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.53 / $218.53 / $218.53	Professional		$218.53	$218.53	$218.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $472.41 / $472.41 / $472.41	Facility		$472.41	$472.41	$472.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.27 / $401.27 / $654.14	Professional		$401.27	$401.27	$654.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $594.66 / $622.69 / $622.69	Professional		$594.66	$622.69	$622.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.80 / $594.66 / $832.54	Professional		$356.80	$594.66	$832.54
United Facility/Professional Professional Modifier Low / Median / High Price $414.43 / $472.41 / $654.14	Professional		$414.43	$472.41	$654.14
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $414.43 / $495.44 / $566.01	Professional		$414.43	$495.44	$566.01