Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.43 / $71.43 / $71.43	Professional		$71.43	$71.43	$71.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.41 / $154.41 / $154.41	Facility		$154.41	$154.41	$154.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.62 / $120.62 / $213.82	Professional		$120.62	$120.62	$213.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $194.38 / $203.54 / $203.54	Professional		$194.38	$203.54	$203.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.88 / $194.38 / $272.13	Professional		$129.88	$194.38	$272.13
United Facility/Professional Professional Modifier Low / Median / High Price $135.46 / $154.41 / $213.82	Professional		$135.46	$154.41	$213.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $156.58 / $161.94 / $185.01	Professional		$156.58	$161.94	$185.01