Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.22 / $72.22 / $72.22	Facility		$72.22	$72.22	$72.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.22 / $72.22 / $72.22	Facility		$72.22	$72.22	$72.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $39.86	Professional		$39.86	$39.86	$39.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $56.39 / $56.39 / $56.39	Professional		$56.39	$56.39	$56.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.86 / $47.84 / $55.82	Professional		$43.86	$47.84	$55.82
United Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $46.34 / $59.81	Professional		$39.86	$46.34	$59.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $38.58 / $46.73	Professional		$32.21	$38.58	$46.73