Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.06 / $790.00 / $790.00	Professional		$203.06	$790.00	$790.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.45 / $293.45 / $293.45	Facility		$293.45	$293.45	$293.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.27 / $211.27 / $406.35	Professional		$211.27	$211.27	$406.35
HMSA Facility/Professional Professional Modifier Low / Median / High Price $369.41 / $386.82 / $386.82	Professional		$369.41	$386.82	$386.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.65 / $369.41 / $517.16	Professional		$221.65	$369.41	$517.16
United Facility/Professional Professional Modifier Low / Median / High Price $257.44 / $293.45 / $406.35	Professional		$257.44	$293.45	$406.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $172.78 / $297.58 / $351.61	Professional		$172.78	$297.58	$351.61