Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $102.00 / $303.00	Professional		$102.00	$102.00	$303.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $437.89 / $437.89 / $437.89	Facility		$437.89	$437.89	$437.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.25 / $315.25 / $606.33	Professional		$315.25	$315.25	$606.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $551.21 / $577.17 / $577.17	Professional		$551.21	$577.17	$577.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $330.73 / $551.21 / $771.69	Professional		$330.73	$551.21	$771.69
United Facility/Professional Professional Modifier Low / Median / High Price $384.14 / $437.89 / $606.33	Professional		$384.14	$437.89	$606.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $257.81 / $444.02 / $524.65	Professional		$257.81	$444.02	$524.65