Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $54.02 / $99.03	Professional		$54.02	$54.02	$99.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.47 / $90.47 / $90.47	Facility		$90.47	$90.47	$90.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $58.00 / $125.28	Professional		$58.00	$58.00	$125.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $113.89 / $119.26 / $119.26	Professional		$113.89	$119.26	$119.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.33 / $113.89 / $159.44	Professional		$68.33	$113.89	$159.44
United Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $90.47 / $125.28	Professional		$68.66	$90.47	$125.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $91.74 / $108.40	Professional		$49.81	$91.74	$108.40