Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.98 / $201.98 / $201.98	Professional		$201.98	$201.98	$201.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.96 / $488.96 / $488.96	Facility		$488.96	$488.96	$488.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.61 / $677.03 / $677.03	Professional		$380.61	$677.03	$677.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $615.48 / $644.48 / $644.48	Professional		$615.48	$644.48	$644.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $369.29 / $615.48 / $861.67	Professional		$369.29	$615.48	$861.67
United Facility/Professional Professional Modifier Low / Median / High Price $409.78 / $488.96 / $677.03	Professional		$409.78	$488.96	$677.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $495.80 / $512.78 / $585.82	Professional		$495.80	$512.78	$585.82