Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.66 / $45.66 / $45.66	Professional		$45.66	$45.66	$45.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.04 / $136.04 / $136.04	Facility		$136.04	$136.04	$136.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $97.44 / $188.38	Professional		$97.44	$97.44	$188.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $171.25 / $179.32 / $179.32	Professional		$171.25	$179.32	$179.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.75 / $171.25 / $239.75	Professional		$102.75	$171.25	$239.75
United Facility/Professional Professional Modifier Low / Median / High Price $97.66 / $136.04 / $188.38	Professional		$97.66	$136.04	$188.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.89 / $137.94 / $163.00	Professional		$74.89	$137.94	$163.00