Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.65 / $88.65 / $88.65	Professional		$88.65	$88.65	$88.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.08 / $284.08 / $284.08	Facility		$284.08	$284.08	$284.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.76 / $138.76 / $393.35	Professional		$138.76	$138.76	$393.35
HMSA Facility/Professional Professional Modifier Low / Median / High Price $357.59 / $374.44 / $374.44	Professional		$357.59	$374.44	$374.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.55 / $357.59 / $500.63	Professional		$214.55	$357.59	$500.63
United Facility/Professional Professional Modifier Low / Median / High Price $141.97 / $284.08 / $393.35	Professional		$141.97	$284.08	$393.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $156.40 / $288.06 / $340.36	Professional		$156.40	$288.06	$340.36