Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.46 / $159.46 / $159.46	Professional		$159.46	$159.46	$159.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.70 / $344.70 / $344.70	Facility		$344.70	$344.70	$344.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.80 / $477.29 / $477.29	Professional		$286.80	$477.29	$477.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $433.90 / $454.35 / $454.35	Professional		$433.90	$454.35	$454.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.33 / $433.90 / $607.46	Professional		$260.33	$433.90	$607.46
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $429.56 / $477.29	Professional		$302.39	$429.56	$477.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $349.52 / $361.50 / $412.99	Professional		$349.52	$361.50	$412.99