Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.61 / $196.61 / $196.61	Professional		$196.61	$196.61	$196.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.10 / $273.10 / $273.10	Facility		$273.10	$273.10	$273.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.98 / $212.98 / $378.16	Professional		$212.98	$212.98	$378.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $343.78 / $359.98 / $359.98	Professional		$343.78	$359.98	$359.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.27 / $343.78 / $481.29	Professional		$206.27	$343.78	$481.29
United Facility/Professional Professional Modifier Low / Median / High Price $208.63 / $273.10 / $378.16	Professional		$208.63	$273.10	$378.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $239.59 / $286.41 / $327.20	Professional		$239.59	$286.41	$327.20