Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.57 / $148.57 / $148.57	Professional		$148.57	$148.57	$148.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.17 / $321.17 / $321.17	Facility		$321.17	$321.17	$321.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.94 / $267.94 / $444.73	Professional		$267.94	$267.94	$444.73
HMSA Facility/Professional Professional Modifier Low / Median / High Price $404.30 / $423.35 / $423.35	Professional		$404.30	$423.35	$423.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.58 / $404.30 / $566.02	Professional		$242.58	$404.30	$566.02
United Facility/Professional Professional Modifier Low / Median / High Price $245.35 / $321.17 / $444.73	Professional		$245.35	$321.17	$444.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $325.67 / $336.83 / $384.81	Professional		$325.67	$336.83	$384.81