Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $24.84 / $24.84	Professional		$24.84	$24.84	$24.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Facility		$95.27	$95.27	$95.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.83 / $131.91 / $131.91	Professional		$55.83	$131.91	$131.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $119.93 / $125.58 / $125.58	Professional		$119.93	$125.58	$125.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $119.93 / $167.90	Professional		$74.31	$119.93	$167.90
United Facility/Professional Professional Modifier Low / Median / High Price $50.58 / $95.27 / $131.91	Professional		$50.58	$95.27	$131.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.44 / $96.60 / $114.15	Professional		$52.44	$96.60	$114.15