Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $31.25 / $31.25	Professional		$31.25	$31.25	$31.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Facility		$96.58	$96.58	$96.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.11 / $54.11 / $133.72	Professional		$54.11	$54.11	$133.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $121.57 / $127.30 / $127.30	Professional		$121.57	$127.30	$127.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.94 / $121.57 / $170.20	Professional		$72.94	$121.57	$170.20
United Facility/Professional Professional Modifier Low / Median / High Price $45.16 / $96.58 / $133.72	Professional		$45.16	$96.58	$133.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $53.17 / $97.93 / $115.71	Professional		$53.17	$97.93	$115.71