Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.43 / $29.43 / $29.43	Professional		$29.43	$29.43	$29.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.08 / $172.08 / $172.08	Facility		$172.08	$172.08	$172.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $238.27 / $238.27	Professional		$54.02	$238.27	$238.27
HMSA Facility/Professional Professional Modifier Low / Median / High Price $216.61 / $226.82 / $226.82	Professional		$216.61	$226.82	$226.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.97 / $216.61 / $303.25	Professional		$129.97	$216.61	$303.25
United Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $172.08 / $238.27	Professional		$65.98	$172.08	$238.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $174.49 / $206.17	Professional		$94.74	$174.49	$206.17