Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.88 / $42.88 / $42.88	Professional		$42.88	$42.88	$42.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.02 / $131.02 / $131.02	Facility		$131.02	$131.02	$131.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $61.81 / $181.42	Professional		$61.81	$61.81	$181.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $164.93 / $172.70 / $172.70	Professional		$164.93	$172.70	$172.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.96 / $164.93 / $230.90	Professional		$98.96	$164.93	$230.90
United Facility/Professional Professional Modifier Low / Median / High Price $72.94 / $163.28 / $181.42	Professional		$72.94	$163.28	$181.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.13 / $103.04 / $156.97	Professional		$72.13	$103.04	$156.97