Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $23.58 / $23.58	Professional		$23.58	$23.58	$23.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.40 / $82.40 / $82.40	Facility		$82.40	$82.40	$82.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.15 / $48.15 / $114.09	Professional		$48.15	$48.15	$114.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $103.72 / $108.61 / $108.61	Professional		$103.72	$108.61	$108.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.23 / $103.72 / $145.21	Professional		$62.23	$103.72	$145.21
United Facility/Professional Professional Modifier Low / Median / High Price $53.34 / $82.40 / $114.09	Professional		$53.34	$82.40	$114.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.37 / $83.55 / $98.72	Professional		$45.37	$83.55	$98.72