Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $33.15 / $33.15	Professional		$33.15	$33.15	$33.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.77 / $143.77 / $143.77	Facility		$143.77	$143.77	$143.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.99 / $83.99 / $199.07	Professional		$83.99	$83.99	$199.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $180.97 / $189.50 / $189.50	Professional		$180.97	$189.50	$189.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.58 / $180.97 / $253.36	Professional		$108.58	$180.97	$253.36
United Facility/Professional Professional Modifier Low / Median / High Price $76.91 / $179.16 / $199.07	Professional		$76.91	$179.16	$199.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $79.15 / $145.78 / $172.25	Professional		$79.15	$145.78	$172.25