Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.22 / $135.22 / $135.22	Professional		$135.22	$135.22	$135.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.82 / $187.82 / $187.82	Facility		$187.82	$187.82	$187.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.22 / $135.22 / $260.06	Professional		$135.22	$135.22	$260.06
HMSA Facility/Professional Professional Modifier Low / Median / High Price $236.42 / $247.56 / $247.56	Professional		$236.42	$247.56	$247.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.85 / $236.42 / $330.99	Professional		$141.85	$236.42	$330.99
United Facility/Professional Professional Modifier Low / Median / High Price $164.77 / $187.82 / $294.87	Professional		$164.77	$187.82	$294.87
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $164.77 / $196.97 / $225.03	Professional		$164.77	$196.97	$225.03