Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.18 / $65.94 / $77.56	Facility		$58.18	$65.94	$77.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $50.01 / $94.18	Professional		$41.14	$50.01	$94.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.51 / $61.51 / $61.51	Facility		$61.51	$61.51	$61.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $54.15 / $79.44	Professional		$29.75	$54.15	$79.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $75.73 / $89.27 / $102.66	Professional		$75.73	$89.27	$102.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.21 / $68.95 / $80.44	Professional		$63.21	$68.95	$80.44
United Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $77.56 / $87.66	Professional		$29.53	$77.56	$87.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.73 / $73.14 / $121.99	Professional		$51.73	$73.14	$121.99