Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $16.91 / $16.91	Professional		$16.91	$16.91	$16.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.89 / $60.89 / $60.89	Facility		$60.89	$60.89	$60.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $40.49 / $75.56	Professional		$26.10	$40.49	$75.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $68.69 / $71.93 / $89.69	Professional		$68.69	$71.93	$89.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $61.82 / $96.17	Professional		$5.48	$61.82	$96.17
United Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $29.12 / $38.83	Facility		$3.89	$29.12	$38.83
United Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $42.05 / $75.56	Professional		$23.81	$42.05	$75.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.22 / $65.09 / $119.99	Professional		$56.22	$65.09	$119.99