Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.08 / $145.08 / $145.08	Professional		$145.08	$145.08	$145.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $298.73 / $298.73 / $298.73	Facility		$298.73	$298.73	$298.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.59 / $209.59 / $413.67	Professional		$209.59	$209.59	$413.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $376.06 / $393.78 / $393.78	Professional		$376.06	$393.78	$393.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.64 / $376.06 / $526.48	Professional		$225.64	$376.06	$526.48
United Facility/Professional Facility Modifier Low / Median / High Price $219.98 / $219.98 / $225.75	Facility		$219.98	$219.98	$225.75
United Facility/Professional Professional Modifier Low / Median / High Price $254.74 / $298.73 / $413.67	Professional		$254.74	$298.73	$413.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $164.46 / $302.92 / $357.94	Professional		$164.46	$302.92	$357.94