Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.30 / $192.30 / $192.30	Professional		$192.30	$192.30	$192.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.93 / $218.93 / $218.93	Facility		$218.93	$218.93	$218.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.14 / $338.50 / $338.50	Professional		$303.14	$338.50	$338.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $275.58 / $288.58 / $288.58	Professional		$275.58	$288.58	$288.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.35 / $275.58 / $385.83	Professional		$165.35	$275.58	$385.83
United Facility/Professional Professional Modifier Low / Median / High Price $192.05 / $303.14 / $435.10	Professional		$192.05	$303.14	$435.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $120.53 / $222.00 / $262.31	Professional		$120.53	$222.00	$262.31