Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.80 / $83.80 / $83.80	Facility		$83.80	$83.80	$83.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.81 / $83.81 / $83.81	Facility		$83.81	$83.81	$83.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $60.77 / $60.77 / $60.77	Professional		$60.77	$60.77	$60.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $49.33 / $57.55	Professional		$45.22	$49.33	$57.55
United Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $49.95 / $61.67	Professional		$41.11	$49.95	$61.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $47.95 / $54.18	Professional		$27.15	$47.95	$54.18