Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.62 / $376.62 / $376.62	Facility		$376.62	$376.62	$376.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.62 / $376.62 / $376.62	Facility		$376.62	$376.62	$376.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $206.59	Professional		$206.59	$206.59	$206.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $69.48 / $69.48	Professional		$69.48	$69.48	$69.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $227.25 / $247.91 / $289.22	Professional		$227.25	$247.91	$289.22
United Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $241.97 / $309.89	Professional		$206.59	$241.97	$309.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $188.44 / $235.55 / $260.12	Professional		$188.44	$235.55	$260.12