Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.81 / $63.68 / $79.95	Facility		$56.81	$63.68	$79.95
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $145.69 / $145.69 / $145.69	Facility	CQ	$145.69	$145.69	$145.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $40.00 / $139.78	Professional		$14.40	$40.00	$139.78
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $22.84 / $31.64 / $55.04	Professional	CQ	$22.84	$31.64	$55.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $36.22 / $78.39	Facility		$36.22	$36.22	$78.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $65.00 / $107.03	Professional		$34.86	$65.00	$107.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $38.35 / $44.05	Professional		$33.75	$38.35	$44.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $38.00 / $42.74	Professional		$37.61	$38.00	$42.74
United Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $36.93 / $57.66	Professional		$27.22	$36.93	$57.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $46.09 / $250.00	Professional		$31.73	$46.09	$250.00