Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.37 / $153.37 / $230.06	Professional		$153.37	$153.37	$230.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.60 / $212.60 / $212.60	Facility		$212.60	$212.60	$212.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $142.00 / $294.38	Professional		$142.00	$142.00	$294.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $267.62 / $280.23 / $280.23	Professional		$267.62	$280.23	$280.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.33 / $267.62 / $374.67	Professional		$187.33	$267.62	$374.67
United Facility/Professional Professional Modifier Low / Median / High Price $182.40 / $250.22 / $294.38	Professional		$182.40	$250.22	$294.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $209.46 / $222.97 / $254.73	Professional		$209.46	$222.97	$254.73