Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $27.90 / $27.90	Professional		$27.90	$27.90	$27.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.67 / $109.67 / $109.67	Facility		$109.67	$109.67	$109.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $54.54 / $151.87	Professional		$54.54	$54.54	$151.87
HMSA Facility/Professional Professional Modifier Low / Median / High Price $138.06 / $144.57 / $144.57	Professional		$138.06	$144.57	$144.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.84 / $138.06 / $193.28	Professional		$82.84	$138.06	$193.28
United Facility/Professional Professional Modifier Low / Median / High Price $58.18 / $109.67 / $151.87	Professional		$58.18	$109.67	$151.87
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.38 / $111.20 / $131.40	Professional		$60.38	$111.20	$131.40