Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $37.90 / $37.90	Professional		$37.90	$37.90	$37.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $79.20 / $79.20	Facility		$79.20	$79.20	$79.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.96 / $82.96 / $109.68	Professional		$82.96	$82.96	$109.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $99.71 / $104.41 / $130.94	Professional		$99.71	$104.41	$130.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $99.71 / $139.59	Professional		$69.80	$99.71	$139.59
United Facility/Professional Professional Modifier Low / Median / High Price $65.27 / $93.23 / $109.68	Professional		$65.27	$93.23	$109.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.06 / $91.66 / $99.71	Professional		$83.06	$91.66	$99.71