Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $17.51 / $17.51	Professional		$17.51	$17.51	$17.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.67 / $83.67 / $83.67	Facility		$83.67	$83.67	$83.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.78 / $29.78 / $115.86	Professional		$29.78	$29.78	$115.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $110.29 / $110.29	Professional		$105.33	$110.29	$110.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $105.33 / $147.46	Professional		$63.20	$105.33	$147.46
United Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $83.67 / $131.36	Professional		$28.23	$83.67	$131.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $46.05 / $84.84 / $100.25	Professional		$46.05	$84.84	$100.25