Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.85 / $149.85 / $149.85	Professional		$149.85	$149.85	$149.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $258.87 / $258.87 / $258.87	Facility		$258.87	$258.87	$258.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.02 / $197.02 / $358.45	Professional		$197.02	$197.02	$358.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $325.86 / $341.21 / $341.21	Professional		$325.86	$341.21	$341.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.52 / $325.86 / $456.20	Professional		$195.52	$325.86	$456.20
United Facility/Professional Professional Modifier Low / Median / High Price $227.09 / $258.87 / $406.43	Professional		$227.09	$258.87	$406.43
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $142.51 / $262.49 / $310.16	Professional		$142.51	$262.49	$310.16