Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.68 / $106.68 / $106.68	Professional		$106.68	$106.68	$106.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.97 / $249.97 / $249.97	Facility		$249.97	$249.97	$249.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.52 / $166.52 / $346.12	Professional		$166.52	$166.52	$346.12
HMSA Facility/Professional Professional Modifier Low / Median / High Price $314.64 / $329.48 / $329.48	Professional		$314.64	$329.48	$329.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.79 / $314.64 / $440.51	Professional		$188.79	$314.64	$440.51
United Facility/Professional Professional Modifier Low / Median / High Price $203.46 / $249.97 / $346.12	Professional		$203.46	$249.97	$346.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $137.61 / $253.47 / $299.49	Professional		$137.61	$253.47	$299.49