Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.97 / $132.97 / $132.97	Professional		$132.97	$132.97	$132.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.67 / $286.67 / $286.67	Facility		$286.67	$286.67	$286.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $178.86 / $251.88	Professional		$20.14	$178.86	$251.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $33.68 / $44.90	Professional		$33.68	$33.68	$44.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.59 / $36.59 / $36.59	Professional		$36.59	$36.59	$36.59
United Facility/Professional Professional Modifier Low / Median / High Price $97.79 / $184.06 / $286.67	Professional		$97.79	$184.06	$286.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $453.70 / $453.70 / $453.70	Professional		$453.70	$453.70	$453.70