Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.54 / $199.93 / $209.35	Professional		$125.54	$199.93	$209.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.40 / $181.40 / $181.40	Facility		$181.40	$181.40	$181.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.59 / $130.59 / $251.15	Professional		$130.59	$130.59	$251.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $228.32 / $239.08 / $239.08	Professional		$228.32	$239.08	$239.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.99 / $228.32 / $319.64	Professional		$136.99	$228.32	$319.64
United Facility/Professional Professional Modifier Low / Median / High Price $159.13 / $181.40 / $251.15	Professional		$159.13	$181.40	$251.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $159.13 / $190.23 / $217.32	Professional		$159.13	$190.23	$217.32