Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.18 / $47.18 / $47.18	Professional		$47.18	$47.18	$47.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.48 / $265.48 / $265.48	Facility		$265.48	$265.48	$265.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.65 / $89.65 / $367.61	Professional		$89.65	$89.65	$367.61
HMSA Facility/Professional Professional Modifier Low / Median / High Price $334.19 / $349.94 / $349.94	Professional		$334.19	$349.94	$349.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.51 / $334.19 / $467.87	Professional		$200.51	$334.19	$467.87
United Facility/Professional Professional Modifier Low / Median / High Price $105.81 / $265.48 / $367.61	Professional		$105.81	$265.48	$367.61
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $146.15 / $269.20 / $318.08	Professional		$146.15	$269.20	$318.08