Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $77.30 / $77.30	Professional		$77.30	$77.30	$77.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.49 / $181.49 / $181.49	Facility		$181.49	$181.49	$181.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $113.00 / $251.28	Professional		$113.00	$113.00	$251.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $228.44 / $239.20 / $239.20	Professional		$228.44	$239.20	$239.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.06 / $228.44 / $319.82	Professional		$137.06	$228.44	$319.82
United Facility/Professional Professional Modifier Low / Median / High Price $102.89 / $181.49 / $251.28	Professional		$102.89	$181.49	$251.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $99.91 / $184.03 / $217.44	Professional		$99.91	$184.03	$217.44