Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.22 / $121.22 / $121.22	Professional		$121.22	$121.22	$121.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.48 / $440.48 / $440.48	Facility		$440.48	$440.48	$440.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.95 / $214.95 / $439.65	Professional		$214.95	$214.95	$439.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $461.03 / $482.75 / $482.75	Professional		$461.03	$482.75	$482.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.81 / $399.68 / $559.54	Professional		$239.81	$399.68	$559.54
United Facility/Professional Professional Modifier Low / Median / High Price $247.57 / $439.65 / $440.48	Professional		$247.57	$439.65	$440.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $242.49 / $352.48 / $446.65	Professional		$242.49	$352.48	$446.65