Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.47 / $44.54 / $44.54	Facility		$38.47	$44.54	$44.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $26.43 / $52.36	Professional		$14.40	$26.43	$52.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.47 / $38.47 / $114.09	Facility		$38.47	$38.47	$114.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $68.36 / $107.04	Professional		$41.78	$68.36	$107.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $49.83 / $57.19 / $68.28	Professional		$49.83	$57.19	$68.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.18 / $55.20 / $62.73	Professional		$50.18	$55.20	$62.73
United Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $51.18 / $82.43	Professional		$39.04	$51.18	$82.43
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.03 / $60.54 / $250.00	Professional		$38.03	$60.54	$250.00