Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.94 / $106.94 / $106.94	Facility		$106.94	$106.94	$106.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.94 / $106.94 / $106.94	Facility		$106.94	$106.94	$106.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Professional		$49.95	$49.95	$49.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $59.47 / $59.47 / $59.47	Professional		$59.47	$59.47	$59.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $59.94 / $69.93	Professional		$54.95	$59.94	$69.93
United Facility/Professional Professional Modifier Low / Median / High Price $48.87 / $49.95 / $74.93	Professional		$48.87	$49.95	$74.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.30 / $59.70 / $93.20	Professional		$45.30	$59.70	$93.20