Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.19 / $141.19 / $141.19	Facility		$141.19	$141.19	$141.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.19 / $141.19 / $141.19	Facility		$141.19	$141.19	$141.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Professional		$66.64	$66.64	$66.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $96.27 / $96.27 / $96.27	Professional		$96.27	$96.27	$96.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $79.97 / $93.30	Professional		$73.31	$79.97	$93.30
United Facility/Professional Professional Modifier Low / Median / High Price $74.64 / $79.12 / $99.96	Professional		$74.64	$79.12	$99.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $59.76 / $75.80 / $86.79	Professional		$59.76	$75.80	$86.79