Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.28 / $74.86 / $458.35	Facility		$69.28	$74.86	$458.35
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $213.34 / $213.34 / $217.06	Facility	CQ	$213.34	$213.34	$217.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $30.64 / $77.39	Professional		$14.40	$30.64	$77.39
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $34.36 / $36.22 / $39.81	Professional	CQ	$34.36	$36.22	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.51 / $40.51 / $86.44	Facility		$40.51	$40.51	$86.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.21 / $65.00 / $107.03	Professional		$38.21	$65.00	$107.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $41.49 / $45.25	Professional		$35.46	$41.49	$45.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $41.21 / $46.83	Professional		$38.00	$41.21	$46.83
United Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $40.42 / $65.54	Professional		$30.18	$40.42	$65.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.99 / $51.33 / $250.00	Professional		$34.99	$51.33	$250.00