Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.94 / $156.94 / $156.94	Professional		$156.94	$156.94	$156.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.77 / $90.77 / $90.77	Facility		$90.77	$90.77	$90.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.66 / $93.18 / $128.94	Professional		$71.66	$93.18	$128.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $106.29 / $119.70	Professional		$36.53	$106.29	$119.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $38.15 / $44.51	Professional		$34.97	$38.15	$44.51
United Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $415.79 / $448.85	Professional		$141.06	$415.79	$448.85
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.18 / $50.47 / $135.66	Professional		$29.18	$50.47	$135.66