Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.14 / $102.14 / $102.14	Facility		$102.14	$102.14	$102.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.15 / $102.15 / $102.15	Facility		$102.15	$102.15	$102.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $63.68	Professional		$63.68	$63.68	$63.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $82.88 / $82.88 / $82.88	Professional		$82.88	$82.88	$82.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.05 / $76.42 / $89.16	Professional		$70.05	$76.42	$89.16
United Facility/Professional Professional Modifier Low / Median / High Price $68.12 / $68.12 / $95.52	Professional		$68.12	$68.12	$95.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $55.48 / $68.69	Professional		$44.75	$55.48	$68.69