Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $36.68 / $36.68	Professional		$36.68	$36.68	$36.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.13 / $133.13 / $133.13	Facility		$133.13	$133.13	$133.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.80 / $75.80 / $184.37	Professional		$75.80	$75.80	$184.37
HMSA Facility/Professional Professional Modifier Low / Median / High Price $167.61 / $175.51 / $175.51	Professional		$167.61	$175.51	$175.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.57 / $167.61 / $234.65	Professional		$100.57	$167.61	$234.65
United Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $133.13 / $184.37	Professional		$82.26	$133.13	$184.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $135.01 / $159.53	Professional		$73.29	$135.01	$159.53