Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.50 / $102.50 / $375.77	Professional		$102.50	$102.50	$375.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.12 / $148.12 / $148.12	Facility		$148.12	$148.12	$148.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.63 / $106.63 / $205.07	Professional		$106.63	$106.63	$205.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $186.43 / $195.21 / $195.21	Professional		$186.43	$195.21	$195.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.86 / $186.43 / $261.00	Professional		$111.86	$186.43	$261.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.94 / $148.12 / $205.07	Professional		$129.94	$148.12	$205.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $87.21 / $150.19 / $177.45	Professional		$87.21	$150.19	$177.45