Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $64.15 / $64.15	Professional		$64.15	$64.15	$64.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.71 / $149.71 / $149.71	Facility		$149.71	$149.71	$149.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.78 / $107.78 / $207.30	Professional		$107.78	$107.78	$207.30
HMSA Facility/Professional Professional Modifier Low / Median / High Price $188.45 / $197.33 / $197.33	Professional		$188.45	$197.33	$197.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.07 / $188.45 / $263.83	Professional		$113.07	$188.45	$263.83
United Facility/Professional Facility Modifier Low / Median / High Price $85.28 / $85.28 / $110.18	Facility		$85.28	$85.28	$110.18
United Facility/Professional Professional Modifier Low / Median / High Price $131.33 / $149.71 / $207.30	Professional		$131.33	$149.71	$207.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $151.80 / $157.00 / $179.37	Professional		$151.80	$157.00	$179.37