Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.90 / $199.90 / $199.90	Professional		$199.90	$199.90	$199.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.94 / $328.94 / $328.94	Facility		$328.94	$328.94	$328.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.54 / $305.54 / $455.46	Professional		$305.54	$305.54	$455.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $414.05 / $433.56 / $433.56	Professional		$414.05	$433.56	$433.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $248.43 / $414.05 / $579.66	Professional		$248.43	$414.05	$579.66
United Facility/Professional Professional Modifier Low / Median / High Price $286.51 / $387.14 / $455.46	Professional		$286.51	$387.14	$455.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $333.54 / $394.10	Professional		$181.08	$333.54	$394.10