Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.99 / $170.99 / $170.99	Professional		$170.99	$170.99	$170.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.47 / $484.47 / $484.47	Facility		$484.47	$484.47	$484.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.67 / $280.67 / $670.82	Professional		$280.67	$280.67	$670.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $609.84 / $638.58 / $638.58	Professional		$609.84	$638.58	$638.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $365.90 / $609.84 / $853.78	Professional		$365.90	$609.84	$853.78
United Facility/Professional Professional Modifier Low / Median / High Price $310.16 / $484.47 / $670.82	Professional		$310.16	$484.47	$670.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $266.70 / $491.26 / $580.46	Professional		$266.70	$491.26	$580.46