Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.89 / $228.27 / $425.00	Facility		$80.89	$228.27	$425.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $38.95 / $42.22 / $128.03	Facility	CQ	$38.95	$42.22	$128.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $38.40 / $104.97	Professional		$17.39	$38.40	$104.97
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $20.42 / $24.75 / $82.14	Professional	CQ	$20.42	$24.75	$82.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.03 / $36.03 / $67.23	Facility		$36.03	$36.03	$67.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $65.00 / $107.03	Professional		$31.33	$65.00	$107.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $34.06 / $42.58	Professional		$29.32	$34.06	$42.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $33.79 / $38.79	Professional		$31.00	$33.79	$38.79
United Facility/Professional Professional Modifier Low / Median / High Price $24.47 / $33.18 / $49.98	Professional		$24.47	$33.18	$49.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $40.04 / $250.00	Professional		$27.22	$40.04	$250.00