Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $36.22 / $36.22	Facility		$36.22	$36.22	$36.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $23.19 / $42.74	Professional		$14.40	$23.19	$42.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $36.22 / $77.20	Facility		$36.22	$36.22	$77.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $37.53 / $99.29	Professional		$16.00	$37.53	$99.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $40.22 / $48.01	Professional		$37.11	$40.22	$48.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $41.31 / $44.90	Professional		$35.92	$41.31	$44.90
United Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $36.64 / $57.41	Professional		$28.32	$36.64	$57.41
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.73 / $43.01 / $257.50	Professional		$25.73	$43.01	$257.50