Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.62 / $48.62 / $48.62	Professional		$48.62	$48.62	$48.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.46 / $113.46 / $113.46	Facility		$113.46	$113.46	$113.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $81.70 / $157.11	Professional		$81.70	$81.70	$157.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $142.83 / $149.56 / $149.56	Professional		$142.83	$149.56	$149.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.70 / $142.83 / $199.96	Professional		$85.70	$142.83	$199.96
United Facility/Professional Professional Modifier Low / Median / High Price $99.53 / $113.46 / $157.11	Professional		$99.53	$113.46	$157.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $102.35 / $124.28 / $146.21	Professional		$102.35	$124.28	$146.21