Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.90 / $85.90 / $89.37	Professional		$85.90	$85.90	$89.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.32 / $155.32 / $155.32	Facility		$155.32	$155.32	$155.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.38 / $115.38 / $215.06	Professional		$115.38	$115.38	$215.06
HMSA Facility/Professional Professional Modifier Low / Median / High Price $195.51 / $204.72 / $204.72	Professional		$195.51	$204.72	$204.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.31 / $195.51 / $273.70	Professional		$117.31	$195.51	$273.70
United Facility/Professional Professional Modifier Low / Median / High Price $101.08 / $136.25 / $215.06	Professional		$101.08	$136.25	$215.06
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $85.51 / $157.49 / $186.09	Professional		$85.51	$157.49	$186.09