Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.74 / $133.74 / $133.74	Professional		$133.74	$133.74	$133.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.20 / $400.20 / $400.20	Facility		$400.20	$400.20	$400.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.48 / $292.48 / $554.16	Professional		$292.48	$292.48	$554.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $503.79 / $527.53 / $527.53	Professional		$503.79	$527.53	$527.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.27 / $503.79 / $705.31	Professional		$302.27	$503.79	$705.31
United Facility/Professional Professional Modifier Low / Median / High Price $277.83 / $400.20 / $628.32	Professional		$277.83	$400.20	$628.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $220.32 / $405.81 / $479.51	Professional		$220.32	$405.81	$479.51