Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.06 / $30.06 / $30.06	Professional		$30.06	$30.06	$30.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.27 / $115.27 / $115.27	Facility		$115.27	$115.27	$115.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $62.81 / $159.61	Professional		$62.81	$62.81	$159.61
HMSA Facility/Professional Professional Modifier Low / Median / High Price $145.10 / $151.94 / $151.94	Professional		$145.10	$151.94	$151.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.06 / $145.10 / $203.14	Professional		$87.06	$145.10	$203.14
United Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $115.27 / $159.61	Professional		$51.26	$115.27	$159.61
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $63.46 / $116.88 / $138.11	Professional		$63.46	$116.88	$138.11