Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $67.56 / $67.56	Professional		$67.56	$67.56	$67.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.86 / $93.86 / $93.86	Facility		$93.86	$93.86	$93.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $67.58 / $129.97	Professional		$67.56	$67.58	$129.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $118.15 / $123.72 / $123.72	Professional		$118.15	$123.72	$123.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.89 / $118.15 / $165.41	Professional		$70.89	$118.15	$165.41
United Facility/Professional Professional Modifier Low / Median / High Price $82.33 / $116.97 / $129.97	Professional		$82.33	$116.97	$129.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $95.17 / $98.44 / $112.46	Professional		$95.17	$98.44	$112.46