Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $29.40 / $29.40	Professional		$29.40	$29.40	$29.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.76 / $143.76 / $143.76	Facility		$143.76	$143.76	$143.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $199.06 / $199.06	Professional		$51.74	$199.06	$199.06
HMSA Facility/Professional Professional Modifier Low / Median / High Price $180.96 / $189.49 / $189.49	Professional		$180.96	$189.49	$189.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.58 / $180.96 / $253.34	Professional		$108.58	$180.96	$253.34
United Facility/Professional Professional Modifier Low / Median / High Price $47.39 / $143.76 / $199.06	Professional		$47.39	$143.76	$199.06
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $113.06 / $172.24	Professional		$79.14	$113.06	$172.24