Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $81.84 / $81.84	Professional		$81.84	$81.84	$81.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.01 / $133.01 / $133.01	Facility		$133.01	$133.01	$133.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.16 / $85.16 / $184.17	Professional		$85.16	$85.16	$184.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $167.43 / $175.32 / $175.32	Professional		$167.43	$175.32	$175.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $167.43 / $234.40	Professional		$100.46	$167.43	$234.40
United Facility/Professional Professional Modifier Low / Median / High Price $104.04 / $133.01 / $184.17	Professional		$104.04	$133.01	$184.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $134.88 / $159.37	Professional		$73.20	$134.88	$159.37