Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.78 / $105.78 / $105.78	Professional		$105.78	$105.78	$105.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.19 / $209.19 / $209.19	Facility		$209.19	$209.19	$209.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.64 / $170.64 / $289.66	Professional		$170.64	$170.64	$289.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $263.33 / $275.74 / $275.74	Professional		$263.33	$275.74	$275.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $263.33 / $368.66	Professional		$75.00	$263.33	$368.66
United Facility/Professional Professional Modifier Low / Median / High Price $183.52 / $209.19 / $289.66	Professional		$183.52	$209.19	$289.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $212.12 / $250.64	Professional		$115.16	$212.12	$250.64