Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $64.34 / $64.34	Professional		$64.34	$64.34	$64.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.56 / $192.56 / $192.56	Facility		$192.56	$192.56	$192.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.54 / $97.54 / $266.62	Professional		$97.54	$97.54	$266.62
HMSA Facility/Professional Professional Modifier Low / Median / High Price $242.38 / $253.80 / $253.80	Professional		$242.38	$253.80	$253.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.43 / $242.38 / $339.33	Professional		$145.43	$242.38	$339.33
United Facility/Professional Professional Modifier Low / Median / High Price $111.13 / $192.56 / $266.62	Professional		$111.13	$192.56	$266.62
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $106.01 / $195.25 / $230.70	Professional		$106.01	$195.25	$230.70