Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.88 / $121.88 / $121.88	Professional		$121.88	$121.88	$121.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.28 / $537.28 / $537.28	Facility		$537.28	$537.28	$537.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.07 / $227.07 / $743.96	Professional		$227.07	$227.07	$743.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $676.33 / $708.20 / $708.20	Professional		$676.33	$708.20	$708.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $405.80 / $676.33 / $946.86	Professional		$405.80	$676.33	$946.86
United Facility/Professional Professional Modifier Low / Median / High Price $273.33 / $537.28 / $743.96	Professional		$273.33	$537.28	$743.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $295.77 / $422.53 / $643.74	Professional		$295.77	$422.53	$643.74