Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $63.25 / $65.81	Professional		$63.25	$63.25	$65.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.42 / $91.42 / $91.42	Facility		$91.42	$91.42	$91.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $65.81 / $126.59	Professional		$65.81	$65.81	$126.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $115.08 / $120.50 / $120.50	Professional		$115.08	$120.50	$120.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.05 / $115.08 / $161.11	Professional		$69.05	$115.08	$161.11
United Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $91.42 / $126.59	Professional		$80.20	$91.42	$126.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $76.89 / $95.87 / $109.53	Professional		$76.89	$95.87	$109.53