Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $64.98 / $64.98	Professional		$64.98	$64.98	$64.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.49 / $177.49 / $177.49	Facility		$177.49	$177.49	$177.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.29 / $245.77 / $245.77	Professional		$119.29	$245.77	$245.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $223.43 / $233.96 / $233.96	Professional		$223.43	$233.96	$233.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.06 / $223.43 / $312.80	Professional		$134.06	$223.43	$312.80
United Facility/Professional Professional Modifier Low / Median / High Price $150.78 / $177.49 / $245.77	Professional		$150.78	$177.49	$245.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $97.71 / $179.98 / $212.66	Professional		$97.71	$179.98	$212.66