Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $82.85 / $82.85	Professional		$75.00	$82.85	$82.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.87 / $78.87 / $78.87	Facility		$78.87	$78.87	$78.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.21 / $86.21 / $109.22	Professional		$86.21	$86.21	$109.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $99.29 / $103.97 / $103.97	Professional		$99.29	$103.97	$103.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.57 / $99.29 / $139.01	Professional		$59.57	$99.29	$139.01
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $98.30 / $114.72	Professional		$69.18	$98.30	$114.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $79.97 / $94.50	Professional		$43.41	$79.97	$94.50