Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.38 / $87.69 / $103.17	Facility		$77.38	$87.69	$103.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $86.30 / $447.59	Professional		$68.75	$86.30	$447.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.14 / $83.14 / $83.14	Facility		$83.14	$83.14	$83.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.15 / $99.64 / $185.95	Professional		$59.15	$99.64	$185.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $44.56 / $67.73 / $114.12	Professional		$44.56	$67.73	$114.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $91.70 / $106.99	Professional		$84.06	$91.70	$106.99
United Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $103.17 / $129.01	Professional		$48.76	$103.17	$129.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $94.61 / $121.84 / $202.91	Professional		$94.61	$121.84	$202.91