Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.83 / $52.83 / $52.83	Professional		$52.83	$52.83	$52.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.92 / $85.92 / $85.92	Facility		$85.92	$85.92	$85.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.44 / $76.44 / $118.99	Professional		$76.44	$76.44	$118.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $108.17 / $113.27 / $113.27	Professional		$108.17	$113.27	$113.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.72 / $108.17 / $151.44	Professional		$75.72	$108.17	$151.44
United Facility/Professional Professional Modifier Low / Median / High Price $53.96 / $85.92 / $118.99	Professional		$53.96	$85.92	$118.99
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $87.13 / $90.11 / $102.95	Professional		$87.13	$90.11	$102.95