Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.56 / $121.56 / $121.56	Facility		$121.56	$121.56	$121.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.56 / $121.56 / $121.56	Facility		$121.56	$121.56	$121.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $105.79 / $105.79 / $105.79	Professional		$105.79	$105.79	$105.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.44 / $91.03 / $106.20	Professional		$83.44	$91.03	$106.20
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $86.95 / $113.79	Professional		$75.86	$86.95	$113.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.69 / $75.95 / $87.68	Professional		$58.69	$75.95	$87.68