Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.32 / $187.94 / $310.00	Professional		$51.32	$187.94	$310.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.30 / $71.30 / $71.30	Facility		$71.30	$71.30	$71.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $98.73	Professional		$61.54	$61.54	$98.73
HMSA Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $93.98 / $93.98	Professional		$89.75	$93.98	$93.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.85 / $89.75 / $125.65	Professional		$53.85	$89.75	$125.65
United Facility/Professional Professional Modifier Low / Median / High Price $62.55 / $71.30 / $111.95	Professional		$62.55	$71.30	$111.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $72.30 / $85.43	Professional		$41.98	$72.30	$85.43