Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.73 / $65.43 / $76.98	Facility		$57.73	$65.43	$76.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.97 / $40.97 / $40.97	Professional		$40.97	$40.97	$40.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.26 / $66.26 / $66.26	Facility		$66.26	$66.26	$66.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.59 / $158.81 / $292.32	Professional		$73.59	$158.81	$292.32
HMSA Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $294.08 / $314.45	Professional		$68.00	$294.08	$314.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.72 / $68.42 / $79.83	Professional		$62.72	$68.42	$79.83
United Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $76.98 / $95.19	Professional		$35.13	$76.98	$95.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $70.52 / $108.24 / $389.91	Professional		$70.52	$108.24	$389.91