Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $30.55 / $30.55	Professional		$30.55	$30.55	$30.55
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 $57.03 / $57.03 / $98.73	Professional		$57.03	$57.03	$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 / $98.73	Professional		$62.55	$71.30	$98.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.30 / $74.78 / $85.43	Professional		$72.30	$74.78	$85.43