Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.44 / $87.44 / $87.44	Facility		$87.44	$87.44	$87.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.43 / $87.43 / $87.43	Facility		$87.43	$87.43	$87.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $39.54	Professional		$39.54	$39.54	$39.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $41.96 / $41.96	Professional		$41.96	$41.96	$41.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $47.45 / $55.36	Professional		$43.50	$47.45	$55.36
United Facility/Professional Professional Modifier Low / Median / High Price $34.49 / $39.54 / $59.31	Professional		$34.49	$39.54	$59.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $51.13 / $80.77	Professional		$34.78	$51.13	$80.77