Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.68 / $78.68 / $78.68	Facility		$78.68	$78.68	$78.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.67 / $78.67 / $78.67	Facility		$78.67	$78.67	$78.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $43.41	Professional		$43.41	$43.41	$43.41
HMSA Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $73.09 / $73.09	Professional		$73.09	$73.09	$73.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $52.09 / $60.78	Professional		$47.75	$52.09	$60.78
United Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $60.08 / $65.12	Professional		$43.41	$60.08	$65.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $39.59 / $60.58	Professional		$11.54	$39.59	$60.58