Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.96 / $46.96 / $46.96	Facility		$46.96	$46.96	$46.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $25.32 / $849.41	Professional		$19.18	$25.32	$849.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.95 / $46.95 / $46.95	Facility		$46.95	$46.95	$46.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $18.44	Professional		$18.44	$18.44	$18.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $28.72 / $28.72 / $28.72	Professional		$28.72	$28.72	$28.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $22.13 / $25.81	Professional		$20.28	$22.13	$25.81
United Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $23.61 / $27.66	Professional		$18.44	$23.61	$27.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $22.88 / $28.60	Professional		$13.82	$22.88	$28.60