Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $45.67 / $45.67	Professional		$45.67	$45.67	$45.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.22 / $114.22 / $114.22	Facility		$114.22	$114.22	$114.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $80.95 / $139.28	Professional		$66.45	$80.95	$139.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $126.62 / $132.59 / $165.36	Professional		$126.62	$132.59	$165.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.63 / $113.96 / $177.27	Professional		$88.63	$113.96	$177.27
United Facility/Professional Professional Modifier Low / Median / High Price $52.13 / $86.44 / $139.28	Professional		$52.13	$86.44	$139.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $110.24 / $120.02	Professional		$104.37	$110.24	$120.02