Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.25 / $123.25 / $123.25	Professional		$123.25	$123.25	$123.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.20 / $267.20 / $267.20	Facility		$267.20	$267.20	$267.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.68 / $225.68 / $369.97	Professional		$225.68	$225.68	$369.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $336.34 / $352.19 / $352.19	Professional		$336.34	$352.19	$352.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.80 / $336.34 / $470.88	Professional		$201.80	$336.34	$470.88
United Facility/Professional Professional Modifier Low / Median / High Price $229.57 / $267.20 / $369.97	Professional		$229.57	$267.20	$369.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $147.10 / $270.95 / $320.14	Professional		$147.10	$270.95	$320.14