Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.93 / $84.93 / $84.93	Professional		$84.93	$84.93	$84.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.29 / $197.29 / $197.29	Facility		$197.29	$197.29	$197.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $121.41 / $227.06	Professional		$12.35	$121.41	$227.06
HMSA Facility/Professional Professional Modifier Low / Median / High Price $206.42 / $216.15 / $216.15	Professional		$206.42	$216.15	$216.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.49 / $206.42 / $288.99	Professional		$144.49	$206.42	$288.99
United Facility/Professional Professional Modifier Low / Median / High Price $79.55 / $177.63 / $227.06	Professional		$79.55	$177.63	$227.06
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $137.69 / $170.87 / $206.42	Professional		$137.69	$170.87	$206.42