Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.59 / $101.21 / $101.21	Facility		$41.59	$101.21	$101.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $30.08 / $34.58	Professional		$14.40	$30.08	$34.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.59 / $41.59 / $85.22	Facility		$41.59	$41.59	$85.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $66.33 / $107.04	Professional		$40.00	$66.33	$107.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $43.27 / $54.18	Professional		$35.86	$43.27	$54.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.44 / $43.44 / $49.36	Professional		$43.44	$43.44	$49.36
United Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $42.37 / $63.99	Professional		$31.07	$42.37	$63.99
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.49 / $50.86 / $250.00	Professional		$34.49	$50.86	$250.00