Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.95 / $88.95 / $88.95	Professional		$88.95	$88.95	$88.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.57 / $123.57 / $123.57	Facility		$123.57	$123.57	$123.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $88.96 / $171.11	Professional		$88.96	$88.96	$171.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $155.55 / $162.88 / $162.88	Professional		$155.55	$162.88	$162.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $155.55 / $217.77	Professional		$93.33	$155.55	$217.77
United Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $123.57 / $171.11	Professional		$108.39	$123.57	$171.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $103.92 / $129.59 / $148.05	Professional		$103.92	$129.59	$148.05