Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $43.73 / $43.73	Professional		$43.73	$43.73	$43.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.34 / $154.34 / $154.34	Facility		$154.34	$154.34	$154.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $75.81 / $213.70	Professional		$75.81	$75.81	$213.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $194.27 / $203.42 / $203.42	Professional		$194.27	$203.42	$203.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.56 / $194.27 / $271.98	Professional		$116.56	$194.27	$271.98
United Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $154.34 / $213.70	Professional		$69.42	$154.34	$213.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $84.97 / $156.50 / $184.91	Professional		$84.97	$156.50	$184.91