Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $50.12 / $102.33	Facility		$40.74	$50.12	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.84 / $40.74	Professional		$15.85	$28.84	$40.74
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $75.86 / $75.86 / $75.86	Professional	CQ	$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $38.90 / $54.95	Professional		$13.80	$38.90	$54.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $44.67 / $56.23	Professional		$40.74	$44.67	$56.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $47.86 / $50.12	Professional		$43.65	$47.86	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $35.48 / $64.57	Professional		$29.51	$35.48	$64.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $58.88 / $120.23	Professional		$34.67	$58.88	$120.23