Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $69.45 / $72.27	Professional		$69.45	$69.45	$72.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.87 / $129.87 / $129.87	Facility		$129.87	$129.87	$129.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.97 / $84.97 / $135.82	Professional		$84.97	$84.97	$135.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $135.93 / $142.34 / $142.34	Professional		$135.93	$142.34	$142.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.43 / $123.47 / $172.86	Professional		$86.43	$123.47	$172.86
United Facility/Professional Professional Modifier Low / Median / High Price $58.10 / $129.87 / $135.82	Professional		$58.10	$129.87	$135.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $118.31 / $131.69	Professional		$109.51	$118.31	$131.69