Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $34.68 / $34.68	Professional		$34.68	$34.68	$34.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.24 / $103.24 / $103.24	Facility		$103.24	$103.24	$103.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $59.87 / $142.97	Professional		$59.87	$59.87	$142.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $129.97 / $136.09 / $136.09	Professional		$129.97	$136.09	$136.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $129.97 / $181.96	Professional		$77.98	$129.97	$181.96
United Facility/Professional Professional Modifier Low / Median / High Price $64.14 / $103.24 / $142.97	Professional		$64.14	$103.24	$142.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.84 / $104.69 / $123.70	Professional		$56.84	$104.69	$123.70