Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $34.90 / $34.90	Professional		$34.90	$34.90	$34.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.44 / $81.44 / $81.44	Facility		$81.44	$81.44	$81.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $67.95 / $112.77	Professional		$67.95	$67.95	$112.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $102.52 / $107.35 / $107.35	Professional		$102.52	$107.35	$107.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.51 / $102.52 / $143.53	Professional		$61.51	$102.52	$143.53
United Facility/Professional Professional Modifier Low / Median / High Price $62.23 / $81.44 / $112.77	Professional		$62.23	$81.44	$112.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $82.58 / $97.58	Professional		$32.51	$82.58	$97.58