Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $86.29 / $86.29	Professional		$86.29	$86.29	$86.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.36 / $201.36 / $201.36	Facility		$201.36	$201.36	$201.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $278.81 / $278.81	Professional		$168.00	$278.81	$278.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $253.46 / $265.39 / $265.39	Professional		$253.46	$265.39	$265.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.08 / $253.46 / $354.84	Professional		$152.08	$253.46	$354.84
United Facility/Professional Professional Modifier Low / Median / High Price $153.84 / $192.90 / $278.81	Professional		$153.84	$192.90	$278.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $211.17 / $241.25	Professional		$204.17	$211.17	$241.25