Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.29 / $157.29 / $157.29	Professional		$157.29	$157.29	$157.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $521.12 / $521.12 / $521.12	Facility		$521.12	$521.12	$521.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.64 / $274.64 / $721.57	Professional		$274.64	$274.64	$721.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $655.97 / $686.88 / $686.88	Professional		$655.97	$686.88	$686.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.58 / $655.97 / $918.36	Professional		$393.58	$655.97	$918.36
United Facility/Professional Professional Modifier Low / Median / High Price $278.73 / $521.12 / $721.57	Professional		$278.73	$521.12	$721.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $286.88 / $528.41 / $624.37	Professional		$286.88	$528.41	$624.37