Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.98 / $44.98 / $44.98	Facility		$44.98	$44.98	$44.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.97 / $44.97 / $44.97	Facility		$44.97	$44.97	$44.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $19.84 / $19.84	Professional		$19.84	$19.84	$19.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $31.57 / $31.57	Professional		$31.57	$31.57	$31.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $23.81 / $27.78	Professional		$21.83	$23.81	$27.78
United Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $25.94 / $29.76	Professional		$19.84	$25.94	$29.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $23.93 / $36.60	Professional		$17.23	$23.93	$36.60