Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $29.72 / $29.72	Professional		$29.72	$29.72	$29.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.53 / $129.53 / $129.53	Facility		$129.53	$129.53	$129.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $179.34	Professional		$64.62	$64.62	$179.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $163.04 / $170.72 / $170.72	Professional		$163.04	$170.72	$170.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.82 / $163.04 / $228.26	Professional		$97.82	$163.04	$228.26
United Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $129.53 / $179.34	Professional		$66.64	$129.53	$179.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $71.30 / $131.34 / $155.19	Professional		$71.30	$131.34	$155.19