Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.95 / $97.95 / $97.95	Professional		$97.95	$97.95	$97.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.02 / $408.02 / $408.02	Facility		$408.02	$408.02	$408.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.30 / $225.30 / $564.97	Professional		$225.30	$225.30	$564.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $513.61 / $537.80 / $537.80	Professional		$513.61	$537.80	$537.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.17 / $513.61 / $719.05	Professional		$308.17	$513.61	$719.05
United Facility/Professional Professional Modifier Low / Median / High Price $227.26 / $408.02 / $564.97	Professional		$227.26	$408.02	$564.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $224.63 / $413.73 / $488.86	Professional		$224.63	$413.73	$488.86