Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.40 / $77.40 / $77.40	Professional		$77.40	$77.40	$77.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.15 / $217.15 / $217.15	Facility		$217.15	$217.15	$217.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.30 / $136.35 / $253.21	Professional		$120.30	$136.35	$253.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $230.19 / $241.04 / $241.04	Professional		$230.19	$241.04	$241.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.13 / $230.19 / $322.27	Professional		$161.13	$230.19	$322.27
United Facility/Professional Professional Modifier Low / Median / High Price $86.39 / $253.21 / $253.21	Professional		$86.39	$253.21	$253.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $151.55 / $190.52 / $230.19	Professional		$151.55	$190.52	$230.19