Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.96 / $59.96 / $59.96	Professional		$59.96	$59.96	$59.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.25 / $158.25 / $158.25	Facility		$158.25	$158.25	$158.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.07 / $90.07 / $219.13	Professional		$90.07	$90.07	$219.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $199.21 / $208.60 / $208.60	Professional		$199.21	$208.60	$208.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.53 / $199.21 / $278.89	Professional		$119.53	$199.21	$278.89
United Facility/Professional Professional Modifier Low / Median / High Price $110.04 / $197.22 / $219.13	Professional		$110.04	$197.22	$219.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $160.47 / $189.61	Professional		$87.12	$160.47	$189.61