Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.27 / $82.27 / $82.27	Professional		$82.27	$82.27	$82.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.77 / $220.77 / $220.77	Facility		$220.77	$220.77	$220.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.22 / $159.22 / $305.70	Professional		$159.22	$159.22	$305.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $277.91 / $291.01 / $291.01	Professional		$277.91	$291.01	$291.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.75 / $277.91 / $389.07	Professional		$166.75	$277.91	$389.07
United Facility/Professional Professional Modifier Low / Median / High Price $145.80 / $220.77 / $305.70	Professional		$145.80	$220.77	$305.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $121.53 / $223.87 / $264.52	Professional		$121.53	$223.87	$264.52