Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $64.84 / $64.84	Professional		$64.84	$64.84	$64.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.31 / $151.31 / $151.31	Facility		$151.31	$151.31	$151.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.22 / $209.50 / $209.50	Professional		$112.22	$209.50	$209.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $190.45 / $199.42 / $199.42	Professional		$190.45	$199.42	$199.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.27 / $190.45 / $266.63	Professional		$114.27	$190.45	$266.63
United Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $151.31 / $209.50	Professional		$132.72	$151.31	$209.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $127.26 / $158.68 / $181.28	Professional		$127.26	$158.68	$181.28