Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $48.73 / $228.39	Professional		$33.50	$48.73	$228.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.93 / $50.93 / $50.93	Facility		$50.93	$50.93	$50.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $73.20 / $171.51	Professional		$33.26	$73.20	$171.51
HMSA Facility/Professional Professional Modifier Low / Median / High Price $147.16 / $168.91 / $201.64	Professional		$147.16	$168.91	$201.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $141.33 / $171.51	Professional		$34.40	$141.33	$171.51
United Facility/Professional Professional Modifier Low / Median / High Price $61.62 / $129.72 / $171.51	Professional		$61.62	$129.72	$171.51
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $77.36 / $128.19	Professional		$29.04	$77.36	$128.19