Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.20 / $103.20 / $111.20	Facility		$103.20	$103.20	$111.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.42 / $42.83 / $164.00	Professional		$37.42	$42.83	$164.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.04 / $39.04 / $39.04	Facility		$39.04	$39.04	$39.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $47.16 / $83.14	Professional		$31.44	$47.16	$83.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $54.51 / $61.28 / $80.28	Professional		$54.51	$61.28	$80.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.50 / $45.28 / $52.82	Professional		$41.50	$45.28	$52.82
United Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $47.16 / $56.88	Professional		$33.96	$47.16	$56.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.57 / $43.27 / $147.38	Professional		$26.57	$43.27	$147.38