Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.72 / $130.72 / $130.72	Professional		$130.72	$130.72	$130.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.64 / $289.64 / $289.64	Facility		$289.64	$289.64	$289.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.68 / $271.68 / $401.08	Professional		$271.68	$271.68	$401.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $364.62 / $381.80 / $381.80	Professional		$364.62	$381.80	$381.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.77 / $364.62 / $510.47	Professional		$218.77	$364.62	$510.47
United Facility/Professional Professional Modifier Low / Median / High Price $238.94 / $289.64 / $401.08	Professional		$238.94	$289.64	$401.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $159.44 / $293.70 / $347.05	Professional		$159.44	$293.70	$347.05