Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.76 / $314.76 / $314.76	Professional		$314.76	$314.76	$314.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.44 / $680.44 / $680.44	Facility		$680.44	$680.44	$680.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.54 / $624.54 / $942.17	Professional		$624.54	$624.54	$942.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $856.52 / $896.88 / $896.88	Professional		$856.52	$896.88	$896.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $513.91 / $856.52 / $1,199.13	Professional		$513.91	$856.52	$1,199.13
United Facility/Professional Professional Modifier Low / Median / High Price $596.91 / $680.44 / $942.17	Professional		$596.91	$680.44	$942.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $689.97 / $713.61 / $815.25	Professional		$689.97	$713.61	$815.25