Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.59 / $127.59 / $127.59	Professional		$127.59	$127.59	$127.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.70 / $408.70 / $408.70	Facility		$408.70	$408.70	$408.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.57 / $218.57 / $565.92	Professional		$218.57	$218.57	$565.92
HMSA Facility/Professional Professional Modifier Low / Median / High Price $514.48 / $538.72 / $538.72	Professional		$514.48	$538.72	$538.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.69 / $514.48 / $720.27	Professional		$308.69	$514.48	$720.27
United Facility/Professional Professional Modifier Low / Median / High Price $230.01 / $408.70 / $565.92	Professional		$230.01	$408.70	$565.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $414.43 / $489.69	Professional		$225.00	$414.43	$489.69