Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.16 / $52.16 / $52.16	Professional		$52.16	$52.16	$52.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.71 / $121.71 / $121.71	Facility		$121.71	$121.71	$121.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $99.06 / $168.52	Professional		$99.06	$99.06	$168.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $153.19 / $160.41 / $160.41	Professional		$153.19	$160.41	$160.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.92 / $153.19 / $214.48	Professional		$91.92	$153.19	$214.48
United Facility/Professional Professional Modifier Low / Median / High Price $82.16 / $121.71 / $168.52	Professional		$82.16	$121.71	$168.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $102.38 / $127.64 / $145.82	Professional		$102.38	$127.64	$145.82