Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.88 / $127.88 / $127.88	Professional		$127.88	$127.88	$127.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.43 / $268.43 / $268.43	Facility		$268.43	$268.43	$268.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.10 / $225.10 / $371.69	Professional		$225.10	$225.10	$371.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $337.90 / $353.82 / $353.82	Professional		$337.90	$353.82	$353.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.74 / $337.90 / $473.06	Professional		$202.74	$337.90	$473.06
United Facility/Professional Facility Modifier Low / Median / High Price $176.56 / $176.56 / $176.56	Facility		$176.56	$176.56	$176.56
United Facility/Professional Professional Modifier Low / Median / High Price $199.25 / $268.43 / $371.69	Professional		$199.25	$268.43	$371.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $147.76 / $272.19 / $321.62	Professional		$147.76	$272.19	$321.62