Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.49 / $63.49 / $63.49	Professional		$63.49	$63.49	$63.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.26 / $140.26 / $140.26	Facility		$140.26	$140.26	$140.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $120.06 / $194.22	Professional		$120.06	$120.06	$194.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $176.56 / $184.88 / $184.88	Professional		$176.56	$184.88	$184.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.94 / $176.56 / $247.18	Professional		$105.94	$176.56	$247.18
United Facility/Professional Professional Modifier Low / Median / High Price $123.04 / $141.03 / $194.22	Professional		$123.04	$141.03	$194.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $142.22 / $168.05	Professional		$77.22	$142.22	$168.05