Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $70.44 / $107.14	Professional		$14.24	$70.44	$107.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,478.00 / $1,478.00 / $1,863.00	Facility		$1,478.00	$1,478.00	$1,863.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $88.49 / $294.94	Professional		$74.34	$88.49	$294.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $81.14 / $93.14 / $104.85	Professional		$81.14	$93.14	$104.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.39 / $83.27 / $97.15	Professional		$69.39	$83.27	$97.15
United Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $84.29 / $115.34	Professional		$64.48	$84.29	$115.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.63 / $63.91 / $87.22	Professional		$52.63	$63.91	$87.22