Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $68.09 / $68.09	Professional		$68.09	$68.09	$68.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.71 / $156.71 / $156.71	Facility		$156.71	$156.71	$156.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.94 / $142.94 / $216.98	Professional		$142.94	$142.94	$216.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $197.25 / $206.54 / $206.54	Professional		$197.25	$206.54	$206.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.35 / $197.25 / $276.14	Professional		$118.35	$197.25	$276.14
United Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $166.32 / $216.98	Professional		$137.47	$166.32	$216.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $86.28 / $158.90 / $187.75	Professional		$86.28	$158.90	$187.75