Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.67 / $68.67 / $68.67	Professional		$68.67	$68.67	$68.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.42 / $222.42 / $222.42	Facility		$222.42	$222.42	$222.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.19 / $136.19 / $307.99	Professional		$136.19	$136.19	$307.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $279.99 / $293.18 / $293.18	Professional		$279.99	$293.18	$293.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.99 / $279.99 / $391.99	Professional		$167.99	$279.99	$391.99
United Facility/Professional Professional Modifier Low / Median / High Price $153.97 / $222.42 / $307.99	Professional		$153.97	$222.42	$307.99
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $122.44 / $225.53 / $266.50	Professional		$122.44	$225.53	$266.50