Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.39 / $135.35 / $639.60	Facility		$93.39	$135.35	$639.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $49.56 / $75.63	Professional		$14.30	$49.56	$75.63
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $18.84 / $37.97 / $39.46	Professional	CQ	$18.84	$37.97	$39.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $36.11 / $61.61	Facility		$36.11	$36.11	$61.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $65.06 / $107.03	Professional		$29.54	$65.06	$107.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $31.41 / $39.46	Professional		$26.96	$31.41	$39.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $31.86 / $36.20	Professional		$29.00	$31.86	$36.20
United Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $31.28 / $45.80	Professional		$23.09	$31.28	$45.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $37.28 / $250.00	Professional		$24.94	$37.28	$250.00