Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.96 / $499.00 / $499.00	Professional		$212.96	$499.00	$499.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.39 / $460.39 / $460.39	Facility		$460.39	$460.39	$460.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.50 / $229.50 / $637.48	Professional		$229.50	$229.50	$637.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $579.53 / $606.84 / $606.84	Professional		$579.53	$606.84	$606.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $347.72 / $579.53 / $811.34	Professional		$347.72	$579.53	$811.34
United Facility/Professional Professional Modifier Low / Median / High Price $260.19 / $460.39 / $722.82	Professional		$260.19	$460.39	$722.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $253.46 / $466.84 / $551.61	Professional		$253.46	$466.84	$551.61