Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $206.00 / $206.00	Professional		$206.00	$206.00	$206.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.70 / $551.70 / $551.70	Facility		$551.70	$551.70	$551.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.44 / $328.44 / $763.94	Professional		$328.44	$328.44	$763.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $694.49 / $727.21 / $727.21	Professional		$694.49	$727.21	$727.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.69 / $694.49 / $972.29	Professional		$416.69	$694.49	$972.29
United Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $483.99 / $763.94	Professional		$82.50	$483.99	$763.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $303.73 / $559.42 / $661.02	Professional		$303.73	$559.42	$661.02