Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.46 / $98.46 / $98.46	Facility		$98.46	$98.46	$98.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $61.72 / $85.40	Professional		$52.50	$61.72	$85.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.58 / $127.58 / $127.58	Facility		$127.58	$127.58	$127.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.05 / $61.74 / $93.99	Professional		$43.05	$61.74	$93.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $62.12 / $69.02 / $88.41	Professional		$62.12	$69.02	$88.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.61 / $63.37 / $68.88	Professional		$60.61	$63.37	$68.88
United Facility/Professional Professional Modifier Low / Median / High Price $42.62 / $59.51 / $88.77	Professional		$42.62	$59.51	$88.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $69.26 / $101.15	Professional		$51.64	$69.26	$101.15