Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.08 / $99.08 / $99.08	Professional		$99.08	$99.08	$99.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.66 / $382.66 / $382.66	Facility		$382.66	$382.66	$382.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.86 / $181.86 / $529.85	Professional		$181.86	$181.86	$529.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $481.68 / $504.38 / $504.38	Professional		$481.68	$504.38	$504.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $289.01 / $481.68 / $674.35	Professional		$289.01	$481.68	$674.35
United Facility/Professional Facility Modifier Low / Median / High Price $143.90 / $143.90 / $185.91	Facility		$143.90	$143.90	$185.91
United Facility/Professional Professional Modifier Low / Median / High Price $190.77 / $382.66 / $529.85	Professional		$190.77	$382.66	$529.85
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $321.85 / $401.31 / $458.47	Professional		$321.85	$401.31	$458.47