Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $63.47 / $63.47	Professional		$63.47	$63.47	$63.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.17 / $227.17 / $227.17	Facility		$227.17	$227.17	$227.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $116.51 / $314.56	Professional		$116.51	$116.51	$314.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $269.49 / $285.95 / $299.43	Professional		$269.49	$285.95	$299.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.58 / $285.95 / $400.34	Professional		$171.58	$285.95	$400.34
United Facility/Professional Facility Modifier Low / Median / High Price $92.18 / $92.18 / $119.10	Facility		$92.18	$92.18	$119.10
United Facility/Professional Professional Modifier Low / Median / High Price $155.03 / $227.17 / $314.56	Professional		$155.03	$227.17	$314.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $230.35 / $238.25 / $272.18	Professional		$230.35	$238.25	$272.18