Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.91 / $51.91 / $51.91	Professional		$51.91	$51.91	$51.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.91 / $145.91 / $145.91	Facility		$145.91	$145.91	$145.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.63 / $132.63 / $202.07	Professional		$132.63	$132.63	$202.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $183.70 / $192.36 / $192.36	Professional		$183.70	$192.36	$192.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.22 / $183.70 / $257.18	Professional		$110.22	$183.70	$257.18
United Facility/Professional Professional Modifier Low / Median / High Price $115.66 / $145.91 / $202.07	Professional		$115.66	$145.91	$202.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $147.97 / $174.84	Professional		$80.33	$147.97	$174.84