Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.70 / $49.70 / $49.70	Professional		$49.70	$49.70	$49.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.68 / $132.68 / $132.68	Facility		$132.68	$132.68	$132.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.43 / $73.43 / $183.71	Professional		$73.43	$73.43	$183.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $167.01 / $174.88 / $174.88	Professional		$167.01	$174.88	$174.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.21 / $167.01 / $233.81	Professional		$100.21	$167.01	$233.81
United Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $132.68 / $183.71	Professional		$72.48	$132.68	$183.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $104.36 / $158.97	Professional		$73.05	$104.36	$158.97