Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $69.33	Professional		$66.64	$66.64	$69.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.87 / $129.87 / $129.87	Facility		$129.87	$129.87	$129.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $88.85 / $179.83	Professional		$88.85	$88.85	$179.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $163.47 / $171.18 / $171.18	Professional		$163.47	$171.18	$171.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.09 / $163.47 / $228.87	Professional		$98.09	$163.47	$228.87
United Facility/Professional Professional Modifier Low / Median / High Price $84.70 / $129.87 / $179.83	Professional		$84.70	$129.87	$179.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $131.69 / $155.60	Professional		$71.48	$131.69	$155.60