Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $44.92 / $44.92	Professional		$44.92	$44.92	$44.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $159.91 / $159.91	Facility		$159.91	$159.91	$159.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.45 / $107.15 / $161.30	Professional		$57.45	$107.15	$161.30
HMSA Facility/Professional Professional Modifier Low / Median / High Price $159.91 / $167.46 / $191.79	Professional		$159.91	$167.46	$191.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.65 / $131.97 / $205.30	Professional		$102.65	$131.97	$205.30
United Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $72.20 / $161.30	Professional		$47.63	$72.20	$161.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $121.16 / $175.52	Professional		$78.91	$121.16	$175.52