Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.76 / $69.76 / $69.76	Professional		$69.76	$69.76	$69.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.80 / $162.80 / $162.80	Facility		$162.80	$162.80	$162.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.11 / $149.11 / $225.43	Professional		$149.11	$149.11	$225.43
HMSA Facility/Professional Professional Modifier Low / Median / High Price $204.94 / $214.60 / $214.60	Professional		$204.94	$214.60	$214.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.96 / $204.94 / $286.92	Professional		$122.96	$204.94	$286.92
United Facility/Professional Professional Modifier Low / Median / High Price $142.81 / $162.80 / $225.43	Professional		$142.81	$162.80	$225.43
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $165.09 / $170.75 / $195.07	Professional		$165.09	$170.75	$195.07