Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.26 / $35.26 / $35.26	Professional		$35.26	$35.26	$35.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.65 / $121.65 / $121.65	Facility		$121.65	$121.65	$121.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.82 / $59.82 / $168.45	Professional		$59.82	$59.82	$168.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $153.13 / $160.36 / $160.36	Professional		$153.13	$160.36	$160.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.88 / $153.13 / $214.40	Professional		$91.88	$153.13	$214.40
United Facility/Professional Professional Modifier Low / Median / High Price $68.83 / $121.65 / $168.45	Professional		$68.83	$121.65	$168.45
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $66.97 / $123.35 / $145.76	Professional		$66.97	$123.35	$145.76