Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.72 / $152.76 / $213.99	Facility		$114.72	$152.76	$213.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $13.48 / $69.62	Professional		$12.25	$13.48	$69.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.02 / $13.02 / $13.02	Facility		$13.02	$13.02	$13.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.79 / $22.04	Professional		$12.88	$15.79	$22.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $37.02 / $50.06	Professional		$32.17	$37.02	$50.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $15.16 / $17.68	Professional		$13.89	$15.16	$17.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.79 / $30.95	Professional		$10.47	$15.79	$30.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $27.65 / $3,482.00	Professional		$8.47	$27.65	$3,482.00