Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,051.61 / $1,237.20 / $3,865.50	Facility		$1,051.61	$1,237.20	$3,865.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $12.01 / $8,400.00	Professional		$8.83	$12.01	$8,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.25 / $17.25 / $17.25	Facility		$17.25	$17.25	$17.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $8.75	Professional		$8.75	$8.75	$8.75
HMSA Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $12.45 / $12.45	Professional		$12.45	$12.45	$12.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $10.50 / $12.25	Professional		$9.63	$10.50	$12.25
United Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $10.23 / $13.13	Professional		$8.75	$10.23	$13.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.73 / $10.08 / $11.26	Professional		$8.73	$10.08	$11.26