Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $46.70 / $46.70	Professional		$46.70	$46.70	$46.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.40 / $89.40 / $89.40	Facility		$89.40	$89.40	$89.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.77 / $128.85 / $128.85	Professional		$123.77	$128.85	$128.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $112.52 / $117.82 / $117.82	Professional		$112.52	$117.82	$117.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $112.52 / $157.53	Professional		$69.70	$112.52	$157.53
United Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $110.69 / $123.77	Professional		$78.42	$110.69	$123.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.21 / $90.65 / $107.10	Professional		$49.21	$90.65	$107.10