Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $18.89 / $18.89	Professional		$18.89	$18.89	$18.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.41 / $103.41 / $103.41	Facility		$103.41	$103.41	$103.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $39.15 / $143.19	Professional		$39.15	$39.15	$143.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $130.18 / $136.31 / $136.31	Professional		$130.18	$136.31	$136.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.11 / $130.18 / $182.25	Professional		$78.11	$130.18	$182.25
United Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $103.41 / $143.19	Professional		$40.90	$103.41	$143.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.92 / $104.86 / $123.91	Professional		$56.92	$104.86	$123.91