Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.26 / $47.26 / $47.26	Professional		$47.26	$47.26	$47.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.53 / $135.53 / $135.53	Facility		$135.53	$135.53	$135.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.36 / $112.36 / $187.67	Professional		$112.36	$112.36	$187.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $170.61 / $178.65 / $178.65	Professional		$170.61	$178.65	$178.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.37 / $170.61 / $238.85	Professional		$102.37	$170.61	$238.85
United Facility/Professional Professional Modifier Low / Median / High Price $103.22 / $135.53 / $187.67	Professional		$103.22	$135.53	$187.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.61 / $137.43 / $162.38	Professional		$74.61	$137.43	$162.38