Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.92 / $171.92 / $171.92	Professional		$171.92	$171.92	$171.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.89 / $305.89 / $305.89	Facility		$305.89	$305.89	$305.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.28 / $228.28 / $423.54	Professional		$228.28	$228.28	$423.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $385.04 / $403.18 / $403.18	Professional		$385.04	$403.18	$403.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.02 / $385.04 / $539.05	Professional		$231.02	$385.04	$539.05
United Facility/Professional Professional Modifier Low / Median / High Price $268.33 / $381.19 / $423.54	Professional		$268.33	$381.19	$423.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $168.39 / $310.17 / $366.49	Professional		$168.39	$310.17	$366.49