Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.29 / $184.29 / $184.29	Professional		$184.29	$184.29	$184.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.21 / $333.21 / $333.21	Facility		$333.21	$333.21	$333.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.22 / $344.22 / $461.38	Professional		$344.22	$344.22	$461.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $419.44 / $439.20 / $439.20	Professional		$419.44	$439.20	$439.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.66 / $419.44 / $587.22	Professional		$251.66	$419.44	$587.22
United Facility/Professional Professional Modifier Low / Median / High Price $292.32 / $392.18 / $461.38	Professional		$292.32	$392.18	$461.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $183.45 / $337.88 / $399.23	Professional		$183.45	$337.88	$399.23