Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $72.00 / $72.00	Professional		$72.00	$72.00	$72.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $52.17	Facility		$52.17	$52.17	$52.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.17 / $52.17 / $217.20	Professional		$52.17	$52.17	$217.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $197.45 / $206.75 / $206.75	Professional		$197.45	$206.75	$206.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.47 / $197.45 / $276.43	Professional		$118.47	$197.45	$276.43
United Facility/Professional Professional Modifier Low / Median / High Price $149.36 / $217.20 / $614.21	Professional		$149.36	$217.20	$614.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $173.37 / $173.37 / $189.71	Professional		$173.37	$173.37	$189.71