Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.20 / $116.20 / $116.20	Facility		$116.20	$116.20	$116.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.20 / $116.20 / $116.20	Facility		$116.20	$116.20	$116.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $59.92 / $59.92 / $59.92	Professional		$59.92	$59.92	$59.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $72.00 / $84.01	Professional		$66.00	$72.00	$84.01
United Facility/Professional Professional Modifier Low / Median / High Price $49.24 / $60.00 / $90.00	Professional		$49.24	$60.00	$90.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.52 / $57.32 / $125.72	Professional		$31.52	$57.32	$125.72