Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.26 / $110.26 / $110.26	Professional		$110.26	$110.26	$110.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.31 / $170.31 / $170.31	Facility		$170.31	$170.31	$170.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.82 / $121.82 / $235.83	Professional		$121.82	$121.82	$235.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $214.39 / $224.49 / $224.49	Professional		$214.39	$224.49	$224.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.63 / $214.39 / $300.14	Professional		$128.63	$214.39	$300.14
United Facility/Professional Professional Modifier Low / Median / High Price $111.55 / $170.31 / $235.83	Professional		$111.55	$170.31	$235.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $93.76 / $172.70 / $204.06	Professional		$93.76	$172.70	$204.06