Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.86 / $133.86 / $133.86	Professional		$133.86	$133.86	$133.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.92 / $473.92 / $473.92	Facility		$473.92	$473.92	$473.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.08 / $268.08 / $656.21	Professional		$268.08	$268.08	$656.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $596.54 / $624.66 / $624.66	Professional		$596.54	$624.66	$624.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.93 / $596.54 / $835.17	Professional		$357.93	$596.54	$835.17
United Facility/Professional Professional Modifier Low / Median / High Price $247.02 / $590.58 / $656.21	Professional		$247.02	$590.58	$656.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $260.89 / $480.55 / $567.80	Professional		$260.89	$480.55	$567.80