Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.49 / $57.49 / $59.81	Professional		$57.49	$57.49	$59.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.56 / $136.56 / $136.56	Facility		$136.56	$136.56	$136.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $62.81 / $189.07	Professional		$62.81	$62.81	$189.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $171.88 / $179.98 / $179.98	Professional		$171.88	$179.98	$179.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.13 / $171.88 / $240.63	Professional		$103.13	$171.88	$240.63
United Facility/Professional Professional Modifier Low / Median / High Price $73.08 / $136.56 / $189.07	Professional		$73.08	$136.56	$189.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.19 / $138.47 / $163.60	Professional		$75.19	$138.47	$163.60