Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.46 / $838.20 / $838.20	Facility		$33.46	$838.20	$838.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $41.21 / $443.49	Professional		$30.01	$41.21	$443.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $33.47 / $33.47	Facility		$33.47	$33.47	$33.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $30.01	Professional		$30.01	$30.01	$30.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $39.15 / $39.15	Professional		$39.15	$39.15	$39.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.01 / $36.01 / $42.02	Professional		$33.01	$36.01	$42.02
United Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $32.19 / $45.02	Professional		$30.01	$32.19	$45.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $22.64 / $32.45	Professional		$12.68	$22.64	$32.45