Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.22 / $41.22 / $41.22	Professional		$41.22	$41.22	$41.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.04 / $102.04 / $102.04	Facility		$102.04	$102.04	$102.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.72 / $66.72 / $141.28	Professional		$66.72	$66.72	$141.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $134.49 / $134.49	Professional		$128.44	$134.49	$134.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $128.44 / $179.82	Professional		$77.06	$128.44	$179.82
United Facility/Professional Professional Modifier Low / Median / High Price $77.67 / $102.04 / $141.28	Professional		$77.67	$102.04	$141.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.18 / $80.25 / $122.25	Professional		$56.18	$80.25	$122.25