Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $71.48 / $71.48	Professional		$71.48	$71.48	$71.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.27 / $239.27 / $239.27	Facility		$239.27	$239.27	$239.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.66 / $139.66 / $331.30	Professional		$139.66	$139.66	$331.30
HMSA Facility/Professional Professional Modifier Low / Median / High Price $301.18 / $315.37 / $315.37	Professional		$301.18	$315.37	$315.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.71 / $301.18 / $421.65	Professional		$180.71	$301.18	$421.65
United Facility/Professional Professional Modifier Low / Median / High Price $160.30 / $239.27 / $375.65	Professional		$160.30	$239.27	$375.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $131.72 / $242.62 / $286.67	Professional		$131.72	$242.62	$286.67