Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $46.42 / $46.42	Professional		$46.42	$46.42	$46.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.16 / $145.16 / $145.16	Facility		$145.16	$145.16	$145.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.19 / $89.19 / $201.00	Professional		$89.19	$89.19	$201.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $182.73 / $191.34 / $191.34	Professional		$182.73	$191.34	$191.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.64 / $182.73 / $255.82	Professional		$109.64	$182.73	$255.82
United Facility/Professional Professional Modifier Low / Median / High Price $74.18 / $145.16 / $201.00	Professional		$74.18	$145.16	$201.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $79.91 / $147.19 / $173.93	Professional		$79.91	$147.19	$173.93