Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $159.31 / $621.55	Professional		$31.57	$159.31	$621.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $946.07 / $946.07 / $946.07	Facility		$946.07	$946.07	$946.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.73 / $460.45 / $552.54	Professional		$375.73	$460.45	$552.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $38.22 / $573.54	Professional		$33.19	$38.22	$573.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $368.36 / $460.45	Professional		$24.18	$368.36	$460.45
United Facility/Professional Professional Modifier Low / Median / High Price $241.67 / $460.45 / $775.28	Professional		$241.67	$460.45	$775.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $330.43 / $1,252.42	Professional		$19.85	$330.43	$1,252.42