Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.61 / $62.61 / $62.61	Professional		$62.61	$62.61	$62.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.31 / $208.31 / $208.31	Facility		$208.31	$208.31	$208.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.95 / $111.95 / $288.45	Professional		$111.95	$111.95	$288.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $262.23 / $274.58 / $274.58	Professional		$262.23	$274.58	$274.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.34 / $262.23 / $367.12	Professional		$157.34	$262.23	$367.12
United Facility/Professional Professional Modifier Low / Median / High Price $135.53 / $208.31 / $288.45	Professional		$135.53	$208.31	$288.45
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $114.69 / $211.23 / $249.59	Professional		$114.69	$211.23	$249.59