Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.33 / $61.33 / $61.33	Professional		$61.33	$61.33	$61.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.06 / $152.06 / $152.06	Facility		$152.06	$152.06	$152.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.53 / $210.56 / $210.56	Professional		$116.53	$210.56	$210.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $191.42 / $200.44 / $200.44	Professional		$191.42	$200.44	$200.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.85 / $191.42 / $267.99	Professional		$114.85	$191.42	$267.99
United Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $152.06 / $210.56	Professional		$133.38	$152.06	$210.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.71 / $154.19 / $182.19	Professional		$83.71	$154.19	$182.19