Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.51 / $240.51 / $240.51	Professional		$240.51	$240.51	$240.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.62 / $376.62 / $376.62	Facility		$376.62	$376.62	$376.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.42 / $484.42 / $521.50	Professional		$484.42	$484.42	$521.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $474.09 / $496.43 / $496.43	Professional		$474.09	$496.43	$496.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $474.09 / $663.73	Professional		$284.45	$474.09	$663.73
United Facility/Professional Professional Modifier Low / Median / High Price $330.39 / $469.35 / $544.17	Professional		$330.39	$469.35	$544.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $207.33 / $381.90 / $451.25	Professional		$207.33	$381.90	$451.25