Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Professional		$35.40	$35.40	$35.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.42 / $123.42 / $123.42	Facility		$123.42	$123.42	$123.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.21 / $60.21 / $170.90	Professional		$60.21	$60.21	$170.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $155.36 / $162.68 / $162.68	Professional		$155.36	$162.68	$162.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.22 / $155.36 / $217.50	Professional		$93.22	$155.36	$217.50
United Facility/Professional Professional Modifier Low / Median / High Price $73.56 / $123.42 / $170.90	Professional		$73.56	$123.42	$170.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $125.15 / $147.88	Professional		$67.95	$125.15	$147.88