Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.44 / $143.44 / $143.44	Professional		$143.44	$143.44	$143.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.61 / $311.61 / $311.61	Facility		$311.61	$311.61	$311.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.11 / $246.11 / $431.48	Professional		$246.11	$246.11	$431.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $392.25 / $410.73 / $410.73	Professional		$392.25	$410.73	$410.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.35 / $392.25 / $549.15	Professional		$235.35	$392.25	$549.15
United Facility/Professional Professional Modifier Low / Median / High Price $273.35 / $311.61 / $431.48	Professional		$273.35	$311.61	$431.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $171.54 / $315.97 / $373.35	Professional		$171.54	$315.97	$373.35