Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.15 / $176.15 / $176.15	Professional		$176.15	$176.15	$176.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.03 / $432.03 / $432.03	Facility		$432.03	$432.03	$432.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.52 / $299.52 / $598.22	Professional		$299.52	$299.52	$598.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $543.84 / $569.47 / $569.47	Professional		$543.84	$569.47	$569.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $326.30 / $543.84 / $761.38	Professional		$326.30	$543.84	$761.38
United Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $432.03 / $598.22	Professional		$274.27	$432.03	$598.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $237.85 / $438.08 / $517.63	Professional		$237.85	$438.08	$517.63