Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.00 / $295.00 / $295.00	Professional		$295.00	$295.00	$295.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Professional		$165.00	$165.00	$165.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $183.25 / $191.88 / $191.88	Professional		$183.25	$191.88	$191.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $16.64 / $16.64	Professional		$16.64	$16.64	$16.64
United Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Professional		$165.00	$165.00	$165.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $133.88 / $150.00 / $182.70	Professional		$133.88	$150.00	$182.70