Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.58 / $168.58 / $168.58	Professional		$168.58	$168.58	$168.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.43 / $364.43 / $364.43	Facility		$364.43	$364.43	$364.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.27 / $294.27 / $504.60	Professional		$294.27	$294.27	$504.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $458.73 / $480.35 / $480.35	Professional		$458.73	$480.35	$480.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.24 / $458.73 / $642.22	Professional		$275.24	$458.73	$642.22
United Facility/Professional Facility Modifier Low / Median / High Price $276.79 / $276.79 / $284.05	Facility		$276.79	$276.79	$284.05
United Facility/Professional Professional Modifier Low / Median / High Price $319.69 / $364.43 / $504.60	Professional		$319.69	$364.43	$504.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $369.53 / $382.19 / $436.63	Professional		$369.53	$382.19	$436.63