Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $78.06 / $78.06	Professional		$78.06	$78.06	$78.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.31 / $235.31 / $235.31	Facility		$235.31	$235.31	$235.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $133.72 / $271.63	Professional		$133.72	$133.72	$271.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $246.94 / $258.58 / $258.58	Professional		$246.94	$258.58	$258.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $246.94 / $345.72	Professional		$148.16	$246.94	$345.72
United Facility/Professional Professional Modifier Low / Median / High Price $149.47 / $235.31 / $271.63	Professional		$149.47	$235.31	$271.63
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $206.42 / $226.77 / $238.61	Professional		$206.42	$226.77	$238.61