Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $76.16 / $89.60	Facility		$67.20	$76.16	$89.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $39.89 / $39.89	Professional		$39.89	$39.89	$39.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $69.34 / $69.34	Facility		$69.34	$69.34	$69.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.43 / $58.21 / $89.60	Professional		$48.43	$58.21	$89.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $54.53 / $101.22	Professional		$20.54	$54.53	$101.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.01 / $79.64 / $92.92	Professional		$73.01	$79.64	$92.92
United Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $89.60 / $95.39	Professional		$30.95	$89.60	$95.39
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.20 / $86.27 / $128.82	Professional		$60.20	$86.27	$128.82