Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.77 / $165.77 / $165.77	Professional		$165.77	$165.77	$165.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.27 / $230.27 / $230.27	Facility		$230.27	$230.27	$230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.58 / $176.58 / $318.85	Professional		$176.58	$176.58	$318.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $289.86 / $303.52 / $303.52	Professional		$289.86	$303.52	$303.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.92 / $289.86 / $405.80	Professional		$173.92	$289.86	$405.80
United Facility/Professional Professional Modifier Low / Median / High Price $202.02 / $230.27 / $318.85	Professional		$202.02	$230.27	$318.85
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $202.02 / $241.50 / $275.89	Professional		$202.02	$241.50	$275.89