Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $35.92	Professional		$35.92	$35.92	$35.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.42 / $111.42 / $111.42	Facility		$111.42	$111.42	$111.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.81 / $45.81 / $154.28	Professional		$45.81	$45.81	$154.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $140.25 / $146.86 / $146.86	Professional		$140.25	$146.86	$146.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.15 / $140.25 / $196.35	Professional		$84.15	$140.25	$196.35
United Facility/Professional Professional Modifier Low / Median / High Price $42.96 / $111.42 / $154.28	Professional		$42.96	$111.42	$154.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.33 / $112.98 / $133.49	Professional		$61.33	$112.98	$133.49