Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.38 / $119.43 / $140.51	Facility		$105.38	$119.43	$140.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $65.98 / $65.98	Professional		$65.98	$65.98	$65.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.86 / $108.86 / $108.86	Facility		$108.86	$108.86	$108.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.18 / $89.33 / $140.51	Professional		$66.18	$89.33	$140.51
HMSA Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $85.52 / $159.59	Professional		$21.73	$85.52	$159.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.49 / $124.90 / $145.71	Professional		$114.49	$124.90	$145.71
United Facility/Professional Professional Modifier Low / Median / High Price $50.08 / $140.51 / $157.02	Professional		$50.08	$140.51	$157.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $89.70 / $139.94 / $209.94	Professional		$89.70	$139.94	$209.94