Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.69 / $108.69 / $108.69	Professional		$108.69	$108.69	$108.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.37 / $457.37 / $457.37	Facility		$457.37	$457.37	$457.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.96 / $633.30 / $633.30	Professional		$170.96	$633.30	$633.30
HMSA Facility/Professional Professional Modifier Low / Median / High Price $575.74 / $602.87 / $602.87	Professional		$575.74	$602.87	$602.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.44 / $575.74 / $806.04	Professional		$345.44	$575.74	$806.04
United Facility/Professional Professional Modifier Low / Median / High Price $208.87 / $457.37 / $633.30	Professional		$208.87	$457.37	$633.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $251.79 / $463.78 / $548.00	Professional		$251.79	$463.78	$548.00