Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.94 / $104.19 / $122.58	Facility		$91.94	$104.19	$122.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $58.73 / $58.73	Professional		$58.73	$58.73	$58.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.07 / $95.07 / $95.07	Facility		$95.07	$95.07	$95.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.95 / $79.79 / $122.58	Professional		$46.95	$79.79	$122.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $67.38 / $142.19	Professional		$18.51	$67.38	$142.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.88 / $108.96 / $127.12	Professional		$99.88	$108.96	$127.12
United Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $122.58 / $140.13	Professional		$44.64	$122.58	$140.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $66.08 / $117.76 / $181.77	Professional		$66.08	$117.76	$181.77