Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.29 / $108.29 / $112.67	Professional		$108.29	$108.29	$112.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.15 / $154.15 / $154.15	Facility		$154.15	$154.15	$154.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.67 / $112.67 / $213.42	Professional		$112.67	$112.67	$213.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $194.02 / $203.16 / $203.16	Professional		$194.02	$203.16	$203.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.41 / $194.02 / $271.63	Professional		$116.41	$194.02	$271.63
United Facility/Professional Professional Modifier Low / Median / High Price $135.24 / $154.15 / $213.42	Professional		$135.24	$154.15	$213.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $84.87 / $156.30 / $184.67	Professional		$84.87	$156.30	$184.67