Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.32 / $100.32 / $100.32	Facility		$100.32	$100.32	$100.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.32 / $100.32 / $100.32	Facility		$100.32	$100.32	$100.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $64.31	Professional		$55.16	$55.16	$64.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $78.23 / $78.23	Professional		$78.23	$78.23	$78.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $66.19 / $77.23	Professional		$55.16	$66.19	$77.23
United Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $64.31 / $82.74	Professional		$55.16	$64.31	$82.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.39 / $55.16 / $69.13	Professional		$30.39	$55.16	$69.13