Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.80 / $88.80 / $88.80	Professional		$88.80	$88.80	$88.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.91 / $249.91 / $249.91	Facility		$249.91	$249.91	$249.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.78 / $190.78 / $346.05	Professional		$190.78	$190.78	$346.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $314.58 / $329.41 / $329.41	Professional		$314.58	$329.41	$329.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.75 / $314.58 / $440.43	Professional		$188.75	$314.58	$440.43
United Facility/Professional Professional Modifier Low / Median / High Price $199.13 / $249.91 / $346.05	Professional		$199.13	$249.91	$346.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $137.58 / $253.41 / $299.43	Professional		$137.58	$253.41	$299.43