Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $108.92 / $108.92	Professional		$108.92	$108.92	$108.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.07 / $331.07 / $331.07	Facility		$331.07	$331.07	$331.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.31 / $182.31 / $458.43	Professional		$182.31	$182.31	$458.43
HMSA Facility/Professional Professional Modifier Low / Median / High Price $416.75 / $436.39 / $436.39	Professional		$416.75	$436.39	$436.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.05 / $416.75 / $583.45	Professional		$250.05	$416.75	$583.45
United Facility/Professional Professional Modifier Low / Median / High Price $169.71 / $331.07 / $458.43	Professional		$169.71	$331.07	$458.43
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $182.27 / $335.71 / $396.67	Professional		$182.27	$335.71	$396.67