Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.02 / $80.02 / $80.02	Professional		$80.02	$80.02	$80.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.83 / $292.83 / $292.83	Facility		$292.83	$292.83	$292.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.85 / $405.46 / $405.46	Professional		$140.85	$405.46	$405.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $368.60 / $385.97 / $385.97	Professional		$368.60	$385.97	$385.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.16 / $368.60 / $516.04	Professional		$221.16	$368.60	$516.04
United Facility/Professional Professional Modifier Low / Median / High Price $166.23 / $292.83 / $405.46	Professional		$166.23	$292.83	$405.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $296.93 / $350.84	Professional		$161.19	$296.93	$350.84