Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $112.90 / $160.00	Professional		$112.90	$112.90	$160.00
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 $127.07 / $213.42 / $213.42	Professional		$127.07	$213.42	$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 $135.81 / $194.02 / $271.63	Professional		$135.81	$194.02	$271.63
United Facility/Professional Professional Modifier Low / Median / High Price $105.65 / $154.15 / $213.42	Professional		$105.65	$154.15	$213.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $151.87 / $161.65 / $184.67	Professional		$151.87	$161.65	$184.67