Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $133.72 / $133.72	Professional		$133.72	$133.72	$133.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.40 / $254.40 / $254.40	Facility		$254.40	$254.40	$254.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.54 / $170.54 / $352.28	Professional		$170.54	$170.54	$352.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $320.25 / $335.34 / $335.34	Professional		$320.25	$335.34	$335.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.15 / $320.25 / $448.35	Professional		$192.15	$320.25	$448.35
United Facility/Professional Professional Modifier Low / Median / High Price $208.37 / $254.40 / $352.28	Professional		$208.37	$254.40	$352.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $140.04 / $257.95 / $304.81	Professional		$140.04	$257.95	$304.81