Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.64 / $65.64 / $65.64	Professional		$65.64	$65.64	$65.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.68 / $151.68 / $151.68	Facility		$151.68	$151.68	$151.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.33 / $210.05 / $210.05	Professional		$138.33	$210.05	$210.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $190.95 / $199.95 / $199.95	Professional		$190.95	$199.95	$199.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.57 / $190.95 / $267.33	Professional		$114.57	$190.95	$267.33
United Facility/Professional Professional Modifier Low / Median / High Price $133.07 / $160.31 / $210.05	Professional		$133.07	$160.31	$210.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $153.80 / $181.74	Professional		$83.50	$153.80	$181.74