Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.24 / $50.24 / $50.24	Facility		$50.24	$50.24	$50.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.24 / $50.24 / $50.24	Facility		$50.24	$50.24	$50.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $35.54	Professional		$35.54	$35.54	$35.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $49.63 / $49.63	Professional		$49.63	$49.63	$49.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $42.66 / $49.77	Professional		$39.11	$42.66	$49.77
United Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $40.79 / $53.33	Professional		$35.54	$40.79	$53.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $25.51 / $41.13	Professional		$14.03	$25.51	$41.13