Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.86 / $89.86 / $89.86	Facility		$89.86	$89.86	$89.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.85 / $89.85 / $89.85	Facility		$89.85	$89.85	$89.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $30.17	Professional		$30.17	$30.17	$30.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $44.91 / $44.91 / $44.91	Professional		$44.91	$44.91	$44.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $36.20 / $42.23	Professional		$33.18	$36.20	$42.23
United Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $36.90 / $45.26	Professional		$30.17	$36.90	$45.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $37.22 / $57.33	Professional		$6.40	$37.22	$57.33