Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.80 / $165.80 / $165.80	Facility		$165.80	$165.80	$165.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.79 / $165.79 / $165.79	Facility		$165.79	$165.79	$165.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Professional		$64.62	$64.62	$64.62
HMSA Facility/Professional Professional Modifier Low / Median / High Price $90.72 / $90.72 / $90.72	Professional		$90.72	$90.72	$90.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.08 / $77.54 / $90.47	Professional		$71.08	$77.54	$90.47
United Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $74.56 / $96.93	Professional		$64.62	$74.56	$96.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $75.19 / $104.46	Professional		$12.14	$75.19	$104.46