Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.90 / $153.90 / $153.90	Professional		$153.90	$153.90	$153.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $443.24 / $443.24 / $443.24	Facility		$443.24	$443.24	$443.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.20 / $327.20 / $613.77	Professional		$327.20	$327.20	$613.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $557.97 / $584.26 / $584.26	Professional		$557.97	$584.26	$584.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.78 / $557.97 / $781.16	Professional		$334.78	$557.97	$781.16
United Facility/Professional Facility Modifier Low / Median / High Price $276.08 / $276.08 / $283.32	Facility		$276.08	$276.08	$283.32
United Facility/Professional Professional Modifier Low / Median / High Price $299.63 / $521.70 / $613.77	Professional		$299.63	$521.70	$613.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $449.45 / $464.86 / $531.08	Professional		$449.45	$464.86	$531.08