Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $36.34 / $36.34	Professional		$36.34	$36.34	$36.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.01 / $102.01 / $102.01	Facility		$102.01	$102.01	$102.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.99 / $48.99 / $141.25	Professional		$48.99	$48.99	$141.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $128.41 / $134.46 / $134.46	Professional		$128.41	$134.46	$134.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.05 / $128.41 / $179.77	Professional		$77.05	$128.41	$179.77
United Facility/Professional Professional Modifier Low / Median / High Price $35.45 / $102.01 / $141.25	Professional		$35.45	$102.01	$141.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.15 / $103.44 / $122.22	Professional		$56.15	$103.44	$122.22