Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.50 / $85.57 / $100.67	Facility		$75.50	$85.57	$100.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.25 / $48.25 / $48.25	Professional		$48.25	$48.25	$48.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.55 / $77.55 / $77.55	Facility		$77.55	$77.55	$77.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.57 / $125.03 / $183.70	Professional		$85.57	$125.03	$183.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $214.03 / $266.69	Professional		$25.40	$214.03	$266.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.03 / $89.48 / $104.40	Professional		$82.03	$89.48	$104.40
United Facility/Professional Professional Modifier Low / Median / High Price $40.32 / $100.67 / $124.02	Professional		$40.32	$100.67	$124.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $92.39 / $113.87 / $244.49	Professional		$92.39	$113.87	$244.49