Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.31 / $54.31 / $54.31	Professional		$54.31	$54.31	$54.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.41 / $117.41 / $117.41	Facility		$117.41	$117.41	$117.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.15 / $98.15 / $162.59	Professional		$98.15	$98.15	$162.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $147.81 / $154.77 / $154.77	Professional		$147.81	$154.77	$154.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $147.81 / $206.93	Professional		$98.74	$147.81	$206.93
United Facility/Professional Professional Modifier Low / Median / High Price $102.99 / $117.41 / $162.59	Professional		$102.99	$117.41	$162.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $102.99 / $123.15 / $140.69	Professional		$102.99	$123.15	$140.69