Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.73 / $200.73 / $200.73	Professional		$200.73	$200.73	$200.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $433.93 / $433.93 / $433.93	Facility		$433.93	$433.93	$433.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.03 / $362.03 / $600.85	Professional		$362.03	$362.03	$600.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $546.23 / $571.97 / $571.97	Professional		$546.23	$571.97	$571.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $327.74 / $546.23 / $764.72	Professional		$327.74	$546.23	$764.72
United Facility/Professional Professional Modifier Low / Median / High Price $380.67 / $433.93 / $600.85	Professional		$380.67	$433.93	$600.85
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $238.90 / $440.01 / $519.91	Professional		$238.90	$440.01	$519.91