Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.63 / $255.63 / $255.63	Facility		$255.63	$255.63	$255.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.47 / $166.47 / $353.96	Professional		$166.47	$166.47	$353.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $321.77 / $336.94 / $336.94	Professional		$321.77	$336.94	$336.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.07 / $321.77 / $450.49	Professional		$193.07	$321.77	$450.49
United Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $255.63 / $353.96	Professional		$161.38	$255.63	$353.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $140.72 / $259.20 / $306.27	Professional		$140.72	$259.20	$306.27