Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $57.60 / $110.00	Professional		$57.60	$57.60	$110.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.06 / $72.06 / $72.06	Facility		$72.06	$72.06	$72.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.92 / $99.78 / $99.78	Professional		$59.92	$99.78	$99.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $90.71 / $94.98 / $94.98	Professional		$90.71	$94.98	$94.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.43 / $90.71 / $126.99	Professional		$54.43	$90.71	$126.99
United Facility/Professional Professional Modifier Low / Median / High Price $29.02 / $79.73 / $99.78	Professional		$29.02	$79.73	$99.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $73.08 / $86.34	Professional		$19.47	$73.08	$86.34