Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $109.41 / $109.41	Professional		$109.41	$109.41	$109.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.52 / $236.52 / $236.52	Facility		$236.52	$236.52	$236.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.29 / $170.29 / $327.51	Professional		$170.29	$170.29	$327.51
HMSA Facility/Professional Professional Modifier Low / Median / High Price $297.74 / $311.77 / $311.77	Professional		$297.74	$311.77	$311.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.64 / $297.74 / $416.84	Professional		$178.64	$297.74	$416.84
United Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $236.52 / $327.51	Professional		$207.49	$236.52	$327.51
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $239.83 / $248.06 / $283.39	Professional		$239.83	$248.06	$283.39