Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.12 / $62.12 / $62.12	Facility		$62.12	$62.12	$62.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $34.84 / $186.50	Professional		$24.23	$34.84	$186.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.11 / $62.11 / $62.11	Facility		$62.11	$62.11	$62.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $25.37	Professional		$25.37	$25.37	$25.37
HMSA Facility/Professional Professional Modifier Low / Median / High Price $48.81 / $48.81 / $48.81	Professional		$48.81	$48.81	$48.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $30.44 / $35.52	Professional		$27.91	$30.44	$35.52
United Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $38.06 / $40.11	Professional		$25.37	$38.06	$40.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $33.40 / $46.55	Professional		$25.09	$33.40	$46.55