Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.26 / $42.26 / $42.26	Professional		$42.26	$42.26	$42.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.62 / $98.62 / $98.62	Facility		$98.62	$98.62	$98.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $70.98 / $136.58	Professional		$70.98	$70.98	$136.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $124.16 / $130.01 / $130.01	Professional		$124.16	$130.01	$130.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $124.16 / $173.82	Professional		$74.50	$124.16	$173.82
United Facility/Professional Professional Modifier Low / Median / High Price $86.51 / $98.62 / $154.85	Professional		$86.51	$98.62	$154.85
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $100.01 / $103.44 / $118.18	Professional		$100.01	$103.44	$118.18