Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $38.49 / $50.17	Professional		$34.85	$38.49	$50.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.45 / $77.45 / $77.45	Facility		$77.45	$77.45	$77.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $48.89 / $82.68	Professional		$37.60	$48.89	$82.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $81.09 / $81.09	Professional		$77.45	$81.09	$81.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.44 / $74.92 / $104.89	Professional		$52.44	$74.92	$104.89
United Facility/Professional Facility Modifier Low / Median / High Price $44.31 / $44.31 / $44.31	Facility		$44.31	$44.31	$44.31
United Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $46.79 / $92.70	Professional		$23.41	$46.79	$92.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $72.84 / $198.12	Professional		$64.67	$72.84	$198.12