Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.67 / $78.67 / $78.67	Professional		$78.67	$78.67	$78.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.68 / $211.68 / $211.68	Facility		$211.68	$211.68	$211.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.39 / $215.20 / $293.12	Professional		$178.39	$215.20	$293.12
HMSA Facility/Professional Professional Modifier Low / Median / High Price $266.47 / $279.02 / $279.02	Professional		$266.47	$279.02	$279.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $266.47 / $373.06	Professional		$176.00	$266.47	$373.06
United Facility/Professional Professional Modifier Low / Median / High Price $183.08 / $211.68 / $293.12	Professional		$183.08	$211.68	$293.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $214.65 / $253.63 / $380.00	Professional		$214.65	$253.63	$380.00