Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.22 / $277.08 / $375.00	Professional		$267.22	$277.08	$375.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $384.02 / $384.02 / $384.02	Facility		$384.02	$384.02	$384.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.51 / $301.51 / $505.13	Professional		$301.51	$301.51	$505.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $459.21 / $480.85 / $480.85	Professional		$459.21	$480.85	$480.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.45 / $459.21 / $642.89	Professional		$321.45	$459.21	$642.89
United Facility/Professional Professional Modifier Low / Median / High Price $329.46 / $429.36 / $505.13	Professional		$329.46	$429.36	$505.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $384.02 / $389.40 / $441.23	Professional		$384.02	$389.40	$441.23