Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.77 / $63.77 / $63.77	Professional		$63.77	$63.77	$63.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.91 / $145.91 / $145.91	Facility		$145.91	$145.91	$145.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.11 / $89.11 / $202.07	Professional		$89.11	$89.11	$202.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $183.70 / $192.36 / $192.36	Professional		$183.70	$192.36	$192.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.22 / $183.70 / $257.18	Professional		$110.22	$183.70	$257.18
United Facility/Professional Professional Modifier Low / Median / High Price $110.96 / $181.86 / $202.07	Professional		$110.96	$181.86	$202.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $147.97 / $174.84	Professional		$80.33	$147.97	$174.84