Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.87 / $169.87 / $176.74	Professional		$169.87	$169.87	$176.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.50 / $245.50 / $245.50	Facility		$245.50	$245.50	$245.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.75 / $176.75 / $339.93	Professional		$176.75	$176.75	$339.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $309.02 / $323.58 / $323.58	Professional		$309.02	$323.58	$323.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.42 / $309.02 / $432.64	Professional		$185.42	$309.02	$432.64
United Facility/Professional Professional Modifier Low / Median / High Price $215.37 / $245.50 / $339.93	Professional		$215.37	$245.50	$339.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $215.37 / $257.47 / $294.14	Professional		$215.37	$257.47	$294.14