Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.37 / $45.37 / $45.37	Professional		$45.37	$45.37	$45.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.50 / $172.50 / $172.50	Facility		$172.50	$172.50	$172.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $80.45 / $238.84	Professional		$80.45	$80.45	$238.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $217.13 / $227.36 / $227.36	Professional		$217.13	$227.36	$227.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.28 / $217.13 / $303.98	Professional		$130.28	$217.13	$303.98
United Facility/Professional Professional Modifier Low / Median / High Price $98.30 / $151.32 / $238.84	Professional		$98.30	$151.32	$238.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $94.96 / $174.91 / $206.67	Professional		$94.96	$174.91	$206.67