Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.58 / $89.58 / $89.58	Professional		$89.58	$89.58	$89.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.48 / $271.48 / $271.48	Facility		$271.48	$271.48	$271.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.91 / $184.91 / $375.90	Professional		$184.91	$184.91	$375.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $341.73 / $357.83 / $357.83	Professional		$341.73	$357.83	$357.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.04 / $341.73 / $478.42	Professional		$205.04	$341.73	$478.42
United Facility/Professional Professional Modifier Low / Median / High Price $162.13 / $271.48 / $375.90	Professional		$162.13	$271.48	$375.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $149.44 / $275.27 / $325.26	Professional		$149.44	$275.27	$325.26