Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $62.39 / $64.91	Professional		$62.39	$62.39	$64.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.12 / $115.12 / $115.12	Facility		$115.12	$115.12	$115.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $67.20 / $137.02	Professional		$67.20	$67.20	$137.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $124.56 / $130.43 / $130.43	Professional		$124.56	$130.43	$130.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $124.56 / $174.38	Professional		$74.73	$124.56	$174.38
United Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $115.12 / $137.02	Professional		$60.71	$115.12	$137.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $114.86 / $119.55	Professional		$96.83	$114.86	$119.55