Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $128.72 / $128.72	Professional		$128.72	$128.72	$128.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.99 / $507.99 / $507.99	Facility		$507.99	$507.99	$507.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.19 / $243.19 / $703.38	Professional		$243.19	$243.19	$703.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $639.44 / $669.57 / $669.57	Professional		$639.44	$669.57	$669.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $383.66 / $639.44 / $895.22	Professional		$383.66	$639.44	$895.22
United Facility/Professional Professional Modifier Low / Median / High Price $267.41 / $633.04 / $703.38	Professional		$267.41	$633.04	$703.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $279.66 / $515.10 / $608.63	Professional		$279.66	$515.10	$608.63