Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $136.22 / $136.22	Professional		$136.22	$136.22	$136.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $361.37 / $361.37 / $361.37	Facility		$361.37	$361.37	$361.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.78 / $239.78 / $500.38	Professional		$239.78	$239.78	$500.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $454.89 / $476.32 / $476.32	Professional		$454.89	$476.32	$476.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.93 / $454.89 / $636.85	Professional		$272.93	$454.89	$636.85
United Facility/Professional Professional Modifier Low / Median / High Price $219.57 / $361.37 / $500.38	Professional		$219.57	$361.37	$500.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $198.93 / $366.43 / $432.97	Professional		$198.93	$366.43	$432.97