Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.12 / $59.12 / $59.12	Professional		$59.12	$59.12	$59.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.12 / $121.12 / $121.12	Facility		$121.12	$121.12	$121.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.32 / $99.32 / $167.70	Professional		$99.32	$99.32	$167.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $152.44 / $159.63 / $159.63	Professional		$152.44	$159.63	$159.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.47 / $152.44 / $213.43	Professional		$91.47	$152.44	$213.43
United Facility/Professional Professional Modifier Low / Median / High Price $106.24 / $150.93 / $167.70	Professional		$106.24	$150.93	$167.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $66.67 / $122.82 / $145.11	Professional		$66.67	$122.82	$145.11