Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.39 / $313.39 / $313.39	Facility		$313.39	$313.39	$313.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $65.59 / $86.60	Professional		$63.06	$65.59	$86.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.39 / $313.39 / $313.39	Facility		$313.39	$313.39	$313.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $63.06	Professional		$63.06	$63.06	$63.06
HMSA Facility/Professional Professional Modifier Low / Median / High Price $118.08 / $118.08 / $118.08	Professional		$118.08	$118.08	$118.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $75.67 / $88.28	Professional		$69.37	$75.67	$88.28
United Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $94.59 / $97.05	Professional		$70.20	$94.59	$97.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $135.15 / $267.86	Professional		$80.95	$135.15	$267.86