Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.70 / $201.70 / $201.70	Professional		$201.70	$201.70	$201.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.94 / $451.94 / $451.94	Facility		$451.94	$451.94	$451.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.37 / $625.79 / $625.79	Professional		$325.37	$625.79	$625.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $568.90 / $595.71 / $595.71	Professional		$568.90	$595.71	$595.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.23 / $568.90 / $796.46	Professional		$398.23	$568.90	$796.46
United Facility/Professional Professional Modifier Low / Median / High Price $387.78 / $563.21 / $625.79	Professional		$387.78	$563.21	$625.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.54 / $458.27 / $541.49	Professional		$83.54	$458.27	$541.49