Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.15 / $153.15 / $153.15	Professional		$153.15	$153.15	$153.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.20 / $89.20 / $89.20	Facility		$89.20	$89.20	$89.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.50 / $218.27 / $218.27	Professional		$123.50	$218.27	$218.27
HMSA Facility/Professional Professional Modifier Low / Median / High Price $112.27 / $117.56 / $117.56	Professional		$112.27	$117.56	$117.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $112.27 / $157.18	Professional		$67.36	$112.27	$157.18
United Facility/Professional Professional Modifier Low / Median / High Price $78.25 / $123.50 / $280.54	Professional		$78.25	$123.50	$280.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.11 / $90.44 / $106.86	Professional		$49.11	$90.44	$106.86