Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.78 / $102.78 / $102.78	Professional		$102.78	$102.78	$102.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $412.78 / $412.78 / $412.78	Facility		$412.78	$412.78	$412.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.77 / $174.77 / $571.55	Professional		$174.77	$174.77	$571.55
HMSA Facility/Professional Professional Modifier Low / Median / High Price $519.60 / $544.08 / $544.08	Professional		$519.60	$544.08	$544.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $311.76 / $519.60 / $727.44	Professional		$311.76	$519.60	$727.44
United Facility/Professional Professional Modifier Low / Median / High Price $181.91 / $412.78 / $571.55	Professional		$181.91	$412.78	$571.55
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $227.23 / $418.56 / $494.56	Professional		$227.23	$418.56	$494.56