Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.44 / $121.44 / $121.44	Facility		$121.44	$121.44	$121.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.44 / $121.44 / $121.44	Facility		$121.44	$121.44	$121.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $65.63	Professional		$65.63	$65.63	$65.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $22.08 / $22.08 / $22.08	Professional		$22.08	$22.08	$22.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.19 / $78.75 / $91.88	Professional		$72.19	$78.75	$91.88
United Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $76.88 / $98.45	Professional		$65.63	$76.88	$98.45
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $75.70 / $82.65	Professional		$60.71	$75.70	$82.65