Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.96 / $128.96 / $128.96	Professional		$128.96	$128.96	$128.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.73 / $351.73 / $351.73	Facility		$351.73	$351.73	$351.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.64 / $177.64 / $487.03	Professional		$177.64	$177.64	$487.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $442.75 / $463.61 / $463.61	Professional		$442.75	$463.61	$463.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.64 / $442.75 / $619.85	Professional		$265.64	$442.75	$619.85
United Facility/Professional Professional Modifier Low / Median / High Price $219.95 / $351.73 / $487.03	Professional		$219.95	$351.73	$487.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $193.63 / $356.65 / $421.41	Professional		$193.63	$356.65	$421.41