Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $29.92 / $29.92	Professional		$29.92	$29.92	$29.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.29 / $129.29 / $129.29	Facility		$129.29	$129.29	$129.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.78 / $66.78 / $179.04	Professional		$66.78	$66.78	$179.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $162.76 / $170.43 / $170.43	Professional		$162.76	$170.43	$170.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.66 / $162.76 / $227.86	Professional		$97.66	$162.76	$227.86
United Facility/Professional Professional Modifier Low / Median / High Price $63.28 / $129.29 / $179.04	Professional		$63.28	$129.29	$179.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $131.10 / $154.91	Professional		$71.18	$131.10	$154.91