Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $104.71 / $104.71	Facility		$85.11	$104.71	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $218.78	Professional		$51.29	$70.79	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $100.00	Professional		$69.18	$89.13	$100.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $46.77 / $112.20	Professional		$37.15	$46.77	$112.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $95.50 / $104.71	Professional		$89.13	$95.50	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $85.11 / $123.03	Professional		$75.86	$85.11	$123.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $93.33 / $138.04	Professional		$30.20	$93.33	$138.04