Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.47 / $103.47 / $103.47	Professional		$103.47	$103.47	$103.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.32 / $289.32 / $289.32	Facility		$289.32	$289.32	$289.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.91 / $189.91 / $400.61	Professional		$189.91	$189.91	$400.61
HMSA Facility/Professional Professional Modifier Low / Median / High Price $364.19 / $381.35 / $381.35	Professional		$364.19	$381.35	$381.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.51 / $364.19 / $509.87	Professional		$218.51	$364.19	$509.87
United Facility/Professional Professional Modifier Low / Median / High Price $232.02 / $360.55 / $400.61	Professional		$232.02	$360.55	$400.61
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $159.28 / $293.37 / $346.64	Professional		$159.28	$293.37	$346.64