Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.20 / $213.20 / $213.20	Professional		$213.20	$213.20	$213.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.32 / $388.32 / $388.32	Facility		$388.32	$388.32	$388.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.54 / $537.71 / $537.71	Professional		$274.54	$537.71	$537.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $488.83 / $511.86 / $511.86	Professional		$488.83	$511.86	$511.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $293.30 / $488.83 / $684.36	Professional		$293.30	$488.83	$684.36
United Facility/Professional Professional Modifier Low / Median / High Price $270.58 / $388.32 / $537.71	Professional		$270.58	$388.32	$537.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $213.78 / $393.76 / $465.27	Professional		$213.78	$393.76	$465.27