Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.43 / $73.43 / $73.43	Professional		$73.43	$73.43	$73.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.64 / $276.64 / $276.64	Facility		$276.64	$276.64	$276.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.35 / $172.35 / $383.06	Professional		$172.35	$172.35	$383.06
HMSA Facility/Professional Professional Modifier Low / Median / High Price $348.24 / $364.65 / $364.65	Professional		$348.24	$364.65	$364.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.94 / $348.24 / $487.54	Professional		$208.94	$348.24	$487.54
United Facility/Professional Facility Modifier Low / Median / High Price $131.74 / $131.74 / $135.19	Facility		$131.74	$131.74	$135.19
United Facility/Professional Professional Modifier Low / Median / High Price $157.83 / $276.64 / $434.33	Professional		$157.83	$276.64	$434.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $280.52 / $331.46	Professional		$152.30	$280.52	$331.46