Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.62 / $90.62 / $90.62	Professional		$90.62	$90.62	$90.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.97 / $175.97 / $175.97	Facility		$175.97	$175.97	$175.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.79 / $97.79 / $243.65	Professional		$97.79	$97.79	$243.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $221.50 / $231.94 / $231.94	Professional		$221.50	$231.94	$231.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.90 / $221.50 / $310.10	Professional		$132.90	$221.50	$310.10
United Facility/Professional Facility Modifier Low / Median / High Price $74.61 / $74.61 / $96.39	Facility		$74.61	$74.61	$96.39
United Facility/Professional Professional Modifier Low / Median / High Price $115.20 / $175.97 / $243.65	Professional		$115.20	$175.97	$243.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $96.88 / $178.44 / $210.83	Professional		$96.88	$178.44	$210.83