Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $35.35 / $35.35	Professional		$35.35	$35.35	$35.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.96 / $86.96 / $86.96	Facility		$86.96	$86.96	$86.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.97 / $67.48 / $111.18	Professional		$55.97	$67.48	$111.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $101.07 / $105.83 / $131.94	Professional		$101.07	$105.83	$131.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.75 / $90.96 / $141.50	Professional		$70.75	$90.96	$141.50
United Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $69.81 / $111.18	Professional		$42.46	$69.81	$111.18
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.27 / $86.70 / $101.07	Professional		$83.27	$86.70	$101.07