Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.72 / $110.72 / $110.72	Facility		$110.72	$110.72	$110.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.71 / $110.71 / $110.71	Facility		$110.71	$110.71	$110.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Professional		$54.71	$54.71	$54.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $81.69 / $81.69 / $81.69	Professional		$81.69	$81.69	$81.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.18 / $65.65 / $76.59	Professional		$60.18	$65.65	$76.59
United Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $67.14 / $82.07	Professional		$54.71	$67.14	$82.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $55.53 / $71.63 / $76.55	Professional		$55.53	$71.63	$76.55