Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $55.46 / $55.46	Professional		$55.46	$55.46	$55.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.89 / $119.89 / $119.89	Facility		$119.89	$119.89	$119.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.03 / $100.03 / $166.01	Professional		$100.03	$100.03	$166.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $150.91 / $158.03 / $158.03	Professional		$150.91	$158.03	$158.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $150.91 / $211.29	Professional		$90.55	$150.91	$211.29
United Facility/Professional Professional Modifier Low / Median / High Price $105.17 / $119.89 / $188.24	Professional		$105.17	$119.89	$188.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $100.83 / $125.74 / $143.65	Professional		$100.83	$125.74	$143.65