Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $36.50 / $37.97	Professional		$25.00	$36.50	$37.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.36 / $113.36 / $113.36	Facility		$113.36	$113.36	$113.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.80 / $156.96 / $156.96	Professional		$70.80	$156.96	$156.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $142.69 / $149.41 / $149.41	Professional		$142.69	$149.41	$149.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.88 / $142.69 / $199.77	Professional		$99.88	$142.69	$199.77
United Facility/Professional Professional Modifier Low / Median / High Price $86.50 / $113.36 / $156.96	Professional		$86.50	$113.36	$156.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $114.95 / $135.82	Professional		$62.41	$114.95	$135.82