Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.14 / $30.14 / $30.14	Professional		$30.14	$30.14	$30.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.27 / $182.27 / $182.27	Facility		$182.27	$182.27	$182.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $60.55 / $252.38	Professional		$60.55	$60.55	$252.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $229.44 / $240.25 / $240.25	Professional		$229.44	$240.25	$240.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.66 / $229.44 / $321.22	Professional		$137.66	$229.44	$321.22
United Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $182.27 / $252.38	Professional		$73.63	$182.27	$252.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $100.35 / $184.82 / $218.38	Professional		$100.35	$184.82	$218.38