Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.94 / $63.94 / $63.94	Professional		$63.94	$63.94	$63.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.21 / $149.21 / $149.21	Facility		$149.21	$149.21	$149.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.42 / $107.42 / $206.60	Professional		$107.42	$107.42	$206.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $187.82 / $196.67 / $196.67	Professional		$187.82	$196.67	$196.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.47 / $187.82 / $262.95	Professional		$131.47	$187.82	$262.95
United Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.90	Facility		$85.00	$85.00	$85.90
United Facility/Professional Professional Modifier Low / Median / High Price $130.88 / $149.21 / $234.26	Professional		$130.88	$149.21	$234.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $82.14 / $151.30 / $178.77	Professional		$82.14	$151.30	$178.77