Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $81.06 / $81.06	Professional		$81.06	$81.06	$81.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.22 / $183.22 / $183.22	Facility		$183.22	$183.22	$183.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.58 / $175.58 / $253.70	Professional		$175.58	$175.58	$253.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $230.64 / $241.51 / $241.51	Professional		$230.64	$241.51	$241.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $230.64 / $322.89	Professional		$138.38	$230.64	$322.89
United Facility/Professional Professional Modifier Low / Median / High Price $122.17 / $183.22 / $253.70	Professional		$122.17	$183.22	$253.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $100.86 / $185.79 / $219.52	Professional		$100.86	$185.79	$219.52