Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.68 / $71.68 / $71.68	Professional		$71.68	$71.68	$71.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.57 / $116.57 / $116.57	Facility		$116.57	$116.57	$116.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $103.71 / $161.40	Professional		$103.71	$103.71	$161.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $146.72 / $153.63 / $153.63	Professional		$146.72	$153.63	$153.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.18 / $146.72 / $205.42	Professional		$100.18	$146.72	$205.42
United Facility/Professional Facility Modifier Low / Median / High Price $47.95 / $97.64 / $97.64	Facility		$47.95	$97.64	$97.64
United Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $116.57 / $161.40	Professional		$73.20	$116.57	$161.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $105.03 / $122.25 / $139.66	Professional		$105.03	$122.25	$139.66