Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.24 / $162.24 / $162.24	Professional		$162.24	$162.24	$162.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.41 / $266.41 / $266.41	Facility		$266.41	$266.41	$266.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.25 / $192.25 / $368.90	Professional		$192.25	$192.25	$368.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $335.36 / $351.16 / $351.16	Professional		$335.36	$351.16	$351.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.75 / $335.36 / $469.50	Professional		$234.75	$335.36	$469.50
United Facility/Professional Professional Modifier Low / Median / High Price $246.63 / $332.01 / $418.26	Professional		$246.63	$332.01	$418.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $270.14 / $279.39 / $319.20	Professional		$270.14	$279.39	$319.20