Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.58 / $38.58 / $38.58	Professional		$38.58	$38.58	$38.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.68 / $130.68 / $130.68	Facility		$130.68	$130.68	$130.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.47 / $75.47 / $180.95	Professional		$75.47	$75.47	$180.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $164.50 / $172.25 / $172.25	Professional		$164.50	$172.25	$172.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.70 / $164.50 / $230.30	Professional		$98.70	$164.50	$230.30
United Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $130.68 / $180.95	Professional		$78.84	$130.68	$180.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $71.93 / $132.51 / $156.57	Professional		$71.93	$132.51	$156.57