Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.11 / $147.11 / $153.05	Professional		$147.11	$147.11	$153.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.60 / $212.60 / $212.60	Facility		$212.60	$212.60	$212.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $135.00 / $294.38	Professional		$135.00	$135.00	$294.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $267.62 / $280.23 / $280.23	Professional		$267.62	$280.23	$280.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.57 / $267.62 / $374.67	Professional		$160.57	$267.62	$374.67
United Facility/Professional Professional Modifier Low / Median / High Price $186.50 / $212.60 / $294.38	Professional		$186.50	$212.60	$294.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $125.17 / $215.58 / $254.73	Professional		$125.17	$215.58	$254.73