Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.72 / $124.72 / $124.72	Professional		$124.72	$124.72	$124.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.45 / $285.45 / $285.45	Facility		$285.45	$285.45	$285.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.51 / $220.51 / $395.25	Professional		$220.51	$220.51	$395.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $359.32 / $376.25 / $376.25	Professional		$359.32	$376.25	$376.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.59 / $359.32 / $503.05	Professional		$215.59	$359.32	$503.05
United Facility/Professional Professional Modifier Low / Median / High Price $201.93 / $285.45 / $395.25	Professional		$201.93	$285.45	$395.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $157.15 / $289.45 / $342.01	Professional		$157.15	$289.45	$342.01