Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.72 / $136.72 / $136.72	Professional		$136.72	$136.72	$136.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.81 / $434.81 / $434.81	Facility		$434.81	$434.81	$434.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.22 / $188.22 / $602.09	Professional		$188.22	$188.22	$602.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $547.35 / $573.14 / $573.14	Professional		$547.35	$573.14	$573.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $328.41 / $547.35 / $766.29	Professional		$328.41	$547.35	$766.29
United Facility/Professional Professional Modifier Low / Median / High Price $229.97 / $434.81 / $602.09	Professional		$229.97	$434.81	$602.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $239.36 / $440.90 / $520.97	Professional		$239.36	$440.90	$520.97