Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.44 / $82.44 / $82.44	Professional		$82.44	$82.44	$82.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.82 / $171.82 / $171.82	Facility		$171.82	$171.82	$171.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.32 / $103.32 / $237.92	Professional		$103.32	$103.32	$237.92
HMSA Facility/Professional Professional Modifier Low / Median / High Price $216.29 / $226.48 / $226.48	Professional		$216.29	$226.48	$226.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.77 / $216.29 / $302.81	Professional		$129.77	$216.29	$302.81
United Facility/Professional Professional Modifier Low / Median / High Price $100.72 / $171.82 / $237.92	Professional		$100.72	$171.82	$237.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $94.58 / $174.23 / $205.87	Professional		$94.58	$174.23	$205.87