Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $161.62	Professional		$161.62	$161.62	$161.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $404.23 / $404.23 / $404.23	Facility		$404.23	$404.23	$404.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.78 / $297.33 / $556.91	Professional		$243.78	$297.33	$556.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $506.29 / $530.15 / $660.59	Professional		$506.29	$530.15	$660.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.40 / $455.66 / $708.81	Professional		$354.40	$455.66	$708.81
United Facility/Professional Professional Modifier Low / Median / High Price $189.24 / $311.92 / $556.91	Professional		$189.24	$311.92	$556.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $413.55 / $422.54 / $479.57	Professional		$413.55	$422.54	$479.57