Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $29.01 / $29.01	Professional		$29.01	$29.01	$29.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.00 / $96.00 / $96.00	Facility		$96.00	$96.00	$96.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $71.02 / $132.94	Professional		$71.02	$71.02	$132.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $120.86 / $126.55 / $126.55	Professional		$120.86	$126.55	$126.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $120.86 / $169.20	Professional		$72.52	$120.86	$169.20
United Facility/Professional Professional Modifier Low / Median / High Price $70.86 / $96.00 / $132.94	Professional		$70.86	$96.00	$132.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $97.35 / $115.04	Professional		$52.85	$97.35	$115.04