Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.37 / $44.37 / $44.37	Professional		$44.37	$44.37	$44.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.23 / $170.23 / $170.23	Facility		$170.23	$170.23	$170.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $68.45 / $235.73	Professional		$68.45	$68.45	$235.73
HMSA Facility/Professional Professional Modifier Low / Median / High Price $214.30 / $224.40 / $224.40	Professional		$214.30	$224.40	$224.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.58 / $214.30 / $300.02	Professional		$128.58	$214.30	$300.02
United Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $170.23 / $235.73	Professional		$88.00	$170.23	$235.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $93.71 / $172.62 / $203.98	Professional		$93.71	$172.62	$203.98