Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $81.56 / $81.56	Professional		$81.56	$81.56	$81.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.79 / $103.79 / $103.79	Facility		$103.79	$103.79	$103.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $113.78 / $145.22	Professional		$84.23	$113.78	$145.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $81.89 / $135.60	Professional		$50.88	$81.89	$135.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.30 / $65.78 / $76.75	Professional		$60.30	$65.78	$76.75
United Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $267.32 / $279.62	Professional		$91.11	$267.32	$279.62
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.57 / $90.92 / $152.85	Professional		$52.57	$90.92	$152.85