Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.84 / $148.84 / $148.84	Facility		$148.84	$148.84	$148.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.84 / $148.84 / $148.84	Facility		$148.84	$148.84	$148.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $39.45	Professional		$39.45	$39.45	$39.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $88.27 / $88.27 / $88.27	Professional		$88.27	$88.27	$88.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.39 / $47.34 / $55.23	Professional		$43.39	$47.34	$55.23
United Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $59.18 / $72.56	Professional		$39.45	$59.18	$72.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $73.16 / $259.14	Professional		$32.47	$73.16	$259.14