Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.95 / $24.95	Professional		$24.95	$24.95	$24.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.21 / $58.21 / $58.21	Facility		$58.21	$58.21	$58.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.91 / $80.59 / $80.59	Professional		$41.91	$80.59	$80.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $73.27 / $76.72 / $76.72	Professional		$73.27	$76.72	$76.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.96 / $73.27 / $102.58	Professional		$43.96	$73.27	$102.58
United Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $58.21 / $91.40	Professional		$51.07	$58.21	$91.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $59.03 / $61.05 / $69.73	Professional		$59.03	$61.05	$69.73