Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.90 / $227.90 / $237.10	Professional		$227.90	$227.90	$237.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.39 / $456.39 / $456.39	Facility		$456.39	$456.39	$456.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.10 / $237.10 / $631.95	Professional		$237.10	$237.10	$631.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $574.50 / $601.57 / $601.57	Professional		$574.50	$601.57	$601.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $344.70 / $574.50 / $804.30	Professional		$344.70	$574.50	$804.30
United Facility/Professional Professional Modifier Low / Median / High Price $289.68 / $456.39 / $631.95	Professional		$289.68	$456.39	$631.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $251.25 / $462.78 / $546.82	Professional		$251.25	$462.78	$546.82