Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.62 / $275.62 / $275.62	Professional		$275.62	$275.62	$275.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.10 / $317.10 / $317.10	Facility		$317.10	$317.10	$317.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.45 / $297.51 / $429.01	Professional		$263.45	$297.51	$429.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $390.01 / $408.39 / $507.42	Professional		$390.01	$408.39	$507.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.19 / $349.96 / $544.38	Professional		$272.19	$349.96	$544.38
United Facility/Professional Professional Modifier Low / Median / High Price $176.51 / $314.30 / $429.01	Professional		$176.51	$314.30	$429.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $295.02 / $321.42 / $368.36	Professional		$295.02	$321.42	$368.36