Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.16 / $45.16 / $45.16	Professional		$45.16	$45.16	$45.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.36 / $274.36 / $274.36	Facility		$274.36	$274.36	$274.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.22 / $106.22 / $379.89	Professional		$106.22	$106.22	$379.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $345.35 / $361.62 / $361.62	Professional		$345.35	$361.62	$361.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.21 / $345.35 / $483.49	Professional		$207.21	$345.35	$483.49
United Facility/Professional Facility Modifier Low / Median / High Price $84.75 / $84.75 / $84.75	Facility		$84.75	$84.75	$84.75
United Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $274.36 / $379.89	Professional		$101.29	$274.36	$379.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $151.05 / $278.20 / $328.71	Professional		$151.05	$278.20	$328.71