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 $159.21 / $159.21 / $375.90	Professional		$159.21	$159.21	$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 $186.10 / $271.48 / $375.90	Professional		$186.10	$271.48	$375.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $275.27 / $284.70 / $325.26	Professional		$275.27	$284.70	$325.26