Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.65 / $90.65 / $90.65	Professional		$90.65	$90.65	$90.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.12 / $160.12 / $160.12	Facility		$160.12	$160.12	$160.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $221.71	Professional		$117.36	$117.36	$221.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $201.55 / $211.05 / $211.05	Professional		$201.55	$211.05	$211.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.93 / $201.55 / $282.17	Professional		$120.93	$201.55	$282.17
United Facility/Professional Professional Modifier Low / Median / High Price $112.15 / $160.12 / $221.71	Professional		$112.15	$160.12	$221.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $88.14 / $162.37 / $191.84	Professional		$88.14	$162.37	$191.84