Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.59 / $33.59 / $33.59	Professional		$33.59	$33.59	$33.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.38 / $78.38 / $78.38	Facility		$78.38	$78.38	$78.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $103.09 / $103.09	Professional		$57.67	$103.09	$103.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $93.72 / $98.14 / $98.14	Professional		$93.72	$98.14	$98.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $93.72 / $131.21	Professional		$56.23	$93.72	$131.21
United Facility/Professional Professional Modifier Low / Median / High Price $49.22 / $78.38 / $103.09	Professional		$49.22	$78.38	$103.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $79.48 / $90.05	Professional		$65.92	$79.48	$90.05