Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.39 / $57.39 / $57.39	Professional		$57.39	$57.39	$57.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.91 / $133.91 / $133.91	Facility		$133.91	$133.91	$133.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.46 / $116.46 / $185.42	Professional		$116.46	$116.46	$185.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $168.56 / $176.50 / $176.50	Professional		$168.56	$176.50	$176.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.14 / $168.56 / $235.98	Professional		$101.14	$168.56	$235.98
United Facility/Professional Professional Modifier Low / Median / High Price $117.48 / $133.91 / $185.42	Professional		$117.48	$133.91	$185.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $135.79 / $160.44	Professional		$54.59	$135.79	$160.44