Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $139.21	Professional		$139.21	$139.21	$139.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.86 / $253.86 / $253.86	Facility		$253.86	$253.86	$253.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.84 / $351.51 / $351.51	Professional		$144.84	$351.51	$351.51
HMSA Facility/Professional Professional Modifier Low / Median / High Price $319.55 / $334.61 / $334.61	Professional		$319.55	$334.61	$334.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.73 / $319.55 / $447.37	Professional		$191.73	$319.55	$447.37
United Facility/Professional Professional Modifier Low / Median / High Price $176.96 / $253.86 / $351.51	Professional		$176.96	$253.86	$351.51
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $139.75 / $257.41 / $304.14	Professional		$139.75	$257.41	$304.14