Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.61 / $58.61 / $58.61	Professional		$58.61	$58.61	$58.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.59 / $228.59 / $228.59	Facility		$228.59	$228.59	$228.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.66 / $99.66 / $316.51	Professional		$99.66	$99.66	$316.51
HMSA Facility/Professional Professional Modifier Low / Median / High Price $287.74 / $301.30 / $301.30	Professional		$287.74	$301.30	$301.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.64 / $287.74 / $402.84	Professional		$172.64	$287.74	$402.84
United Facility/Professional Professional Modifier Low / Median / High Price $121.76 / $228.59 / $316.51	Professional		$121.76	$228.59	$316.51
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $125.85 / $231.79 / $273.88	Professional		$125.85	$231.79	$273.88