Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $40.83 / $40.83	Professional		$40.83	$40.83	$40.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.26 / $88.26 / $88.26	Facility		$88.26	$88.26	$88.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $90.38 / $122.20	Professional		$90.38	$90.38	$122.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $111.09 / $116.32 / $116.32	Professional		$111.09	$116.32	$116.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.65 / $111.09 / $155.53	Professional		$66.65	$111.09	$155.53
United Facility/Professional Professional Modifier Low / Median / High Price $77.43 / $88.26 / $122.20	Professional		$77.43	$88.26	$122.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $89.50 / $92.56 / $105.74	Professional		$89.50	$92.56	$105.74