Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $128.44 / $128.44	Professional		$128.44	$128.44	$128.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.67 / $277.67 / $277.67	Facility		$277.67	$277.67	$277.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.66 / $231.66 / $384.48	Professional		$231.66	$231.66	$384.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $349.53 / $366.00 / $366.00	Professional		$349.53	$366.00	$366.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.67 / $349.53 / $489.34	Professional		$244.67	$349.53	$489.34
United Facility/Professional Professional Modifier Low / Median / High Price $243.58 / $277.67 / $384.48	Professional		$243.58	$277.67	$384.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $281.56 / $291.20 / $332.69	Professional		$281.56	$291.20	$332.69