Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.75 / $174.75 / $174.75	Professional		$174.75	$174.75	$174.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.22 / $316.22 / $316.22	Facility		$316.22	$316.22	$316.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.20 / $281.20 / $437.84	Professional		$281.20	$281.20	$437.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $398.04 / $416.80 / $416.80	Professional		$398.04	$416.80	$416.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.82 / $398.04 / $557.26	Professional		$238.82	$398.04	$557.26
United Facility/Professional Professional Modifier Low / Median / High Price $277.41 / $361.44 / $437.84	Professional		$277.41	$361.44	$437.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $174.09 / $320.64 / $378.86	Professional		$174.09	$320.64	$378.86