Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.56 / $162.56 / $162.56	Professional		$162.56	$162.56	$162.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.40 / $478.40 / $478.40	Facility		$478.40	$478.40	$478.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.52 / $274.52 / $662.44	Professional		$274.52	$274.52	$662.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $602.22 / $630.60 / $630.60	Professional		$602.22	$630.60	$630.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $361.33 / $602.22 / $843.11	Professional		$361.33	$602.22	$843.11
United Facility/Professional Professional Modifier Low / Median / High Price $251.39 / $478.40 / $662.44	Professional		$251.39	$478.40	$662.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $263.37 / $485.11 / $573.21	Professional		$263.37	$485.11	$573.21