Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.20 / $335.20 / $335.20	Professional		$335.20	$335.20	$335.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $586.79 / $586.79 / $586.79	Facility		$586.79	$586.79	$586.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.94 / $703.94 / $812.53	Professional		$703.94	$703.94	$812.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $738.66 / $773.47 / $773.47	Professional		$738.66	$773.47	$773.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $443.20 / $738.66 / $1,034.11	Professional		$443.20	$738.66	$1,034.11
United Facility/Professional Professional Modifier Low / Median / High Price $514.79 / $658.63 / $812.53	Professional		$514.79	$658.63	$812.53
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $323.05 / $595.01 / $703.07	Professional		$323.05	$595.01	$703.07