Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.80 / $114.80 / $114.80	Professional		$114.80	$114.80	$114.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.89 / $267.89 / $267.89	Facility		$267.89	$267.89	$267.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.91 / $192.91 / $370.95	Professional		$192.91	$192.91	$370.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $337.23 / $353.12 / $353.12	Professional		$337.23	$353.12	$353.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.34 / $337.23 / $472.12	Professional		$202.34	$337.23	$472.12
United Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $267.89 / $370.95	Professional		$235.00	$267.89	$370.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $225.31 / $280.95 / $320.98	Professional		$225.31	$280.95	$320.98