Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $62.14 / $62.14	Professional		$62.14	$62.14	$62.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.84 / $89.84 / $89.84	Facility		$89.84	$89.84	$89.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.66 / $64.66 / $124.42	Professional		$64.66	$64.66	$124.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $113.11 / $118.44 / $118.44	Professional		$113.11	$118.44	$118.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.87 / $113.11 / $158.35	Professional		$67.87	$113.11	$158.35
United Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $89.84 / $124.42	Professional		$78.79	$89.84	$124.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.54 / $94.23 / $107.66	Professional		$75.54	$94.23	$107.66