Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.73 / $71.09 / $83.65	Facility		$62.73	$71.09	$83.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $74.81 / $385.46	Professional		$61.28	$74.81	$385.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.18 / $67.18 / $67.18	Facility		$67.18	$67.18	$67.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.78 / $83.65 / $148.47	Professional		$47.78	$83.65	$148.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $42.68 / $67.09 / $104.24	Professional		$42.68	$67.09	$104.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.16 / $74.34 / $86.74	Professional		$68.16	$74.34	$86.74
United Facility/Professional Professional Modifier Low / Median / High Price $62.73 / $83.65 / $103.22	Professional		$62.73	$83.65	$103.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.70 / $97.90 / $162.93	Professional		$61.70	$97.90	$162.93