Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.87 / $23.87 / $23.87	Professional		$23.87	$23.87	$23.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.04 / $77.04 / $77.04	Facility		$77.04	$77.04	$77.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $106.68 / $106.68	Professional		$34.77	$106.68	$106.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $96.98 / $101.55 / $101.55	Professional		$96.98	$101.55	$101.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.19 / $96.98 / $135.77	Professional		$58.19	$96.98	$135.77
United Facility/Professional Professional Modifier Low / Median / High Price $38.32 / $77.04 / $106.68	Professional		$38.32	$77.04	$106.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.41 / $60.59 / $92.31	Professional		$42.41	$60.59	$92.31