Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.80 / $176.80 / $244.44	Facility		$176.80	$176.80	$244.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $42.38 / $187.00	Professional		$12.43	$42.38	$187.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $5.92 / $16.46 / $21.90	Professional	52	$5.92	$16.46	$21.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $19.09 / $19.09	Facility		$19.09	$19.09	$19.09
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $15.27 / $15.27 / $15.27	Facility	52	$15.27	$15.27	$15.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $40.46 / $69.76	Professional		$12.57	$40.46	$69.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.89 / $56.62	Professional		$14.45	$16.89	$56.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $42.87 / $50.66	Professional		$12.62	$42.87	$50.66
United Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $48.71 / $67.65	Professional		$39.75	$48.71	$67.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $36.78 / $50.19	Professional		$10.56	$36.78	$50.19