Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $52.29 / $52.29	Professional		$52.29	$52.29	$52.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.88 / $131.88 / $131.88	Facility		$131.88	$131.88	$131.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $88.85 / $182.61	Professional		$88.85	$88.85	$182.61
HMSA Facility/Professional Professional Modifier Low / Median / High Price $166.01 / $173.83 / $173.83	Professional		$166.01	$173.83	$173.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.78 / $166.01 / $232.41	Professional		$106.78	$166.01	$232.41
United Facility/Professional Professional Modifier Low / Median / High Price $107.37 / $131.88 / $182.61	Professional		$107.37	$131.88	$182.61
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $133.72 / $158.01	Professional		$72.59	$133.72	$158.01