Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $84.85 / $88.28	Professional		$84.85	$84.85	$88.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.32 / $165.32 / $165.32	Facility		$165.32	$165.32	$165.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $102.60 / $228.91	Professional		$102.60	$102.60	$228.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $208.10 / $217.91 / $217.91	Professional		$208.10	$217.91	$217.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.86 / $208.10 / $291.33	Professional		$124.86	$208.10	$291.33
United Facility/Professional Professional Modifier Low / Median / High Price $107.87 / $206.02 / $228.91	Professional		$107.87	$206.02	$228.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $91.01 / $167.63 / $198.07	Professional		$91.01	$167.63	$198.07