Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.66 / $64.66 / $64.66	Professional		$64.66	$64.66	$64.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.88 / $150.88 / $150.88	Facility		$150.88	$150.88	$150.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $208.92 / $208.92	Professional		$129.63	$208.92	$208.92
HMSA Facility/Professional Professional Modifier Low / Median / High Price $189.93 / $198.88 / $198.88	Professional		$189.93	$198.88	$198.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.96 / $189.93 / $265.89	Professional		$113.96	$189.93	$265.89
United Facility/Professional Professional Modifier Low / Median / High Price $132.36 / $188.03 / $208.92	Professional		$132.36	$188.03	$208.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $152.99 / $158.24 / $180.78	Professional		$152.99	$158.24	$180.78