Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.65 / $142.65 / $142.65	Professional		$142.65	$142.65	$142.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.65 / $395.65 / $395.65	Facility		$395.65	$395.65	$395.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.45 / $277.45 / $547.86	Professional		$277.45	$277.45	$547.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $498.05 / $521.52 / $521.52	Professional		$498.05	$521.52	$521.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.64 / $498.05 / $697.27	Professional		$348.64	$498.05	$697.27
United Facility/Professional Professional Modifier Low / Median / High Price $269.54 / $465.68 / $547.86	Professional		$269.54	$465.68	$547.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $401.20 / $414.95 / $474.05	Professional		$401.20	$414.95	$474.05