Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $40.03 / $48.43	Professional		$30.03	$40.03	$48.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.47 / $116.47 / $116.47	Facility		$116.47	$116.47	$116.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $68.16 / $81.80	Professional		$47.40	$68.16	$81.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $54.77 / $62.39 / $72.65	Professional		$54.77	$62.39	$72.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.01 / $59.98 / $70.89	Professional		$31.01	$59.98	$70.89
United Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $68.16 / $133.69	Professional		$46.31	$68.16	$133.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $47.14 / $154.18	Professional		$24.28	$47.14	$154.18