Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $21.79 / $21.79	Professional		$21.79	$21.79	$21.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.27 / $109.27 / $109.27	Facility		$109.27	$109.27	$109.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $37.36 / $151.29	Professional		$37.36	$37.36	$151.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $137.54 / $144.02 / $144.02	Professional		$137.54	$144.02	$144.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.52 / $137.54 / $192.56	Professional		$82.52	$137.54	$192.56
United Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $109.27 / $151.29	Professional		$44.10	$109.27	$151.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.15 / $110.80 / $130.91	Professional		$60.15	$110.80	$130.91