Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Facility		$89.34	$89.34	$89.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $49.45 / $67.23	Professional		$48.96	$49.45	$67.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Facility		$89.34	$89.34	$89.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $48.96	Professional		$48.96	$48.96	$48.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Professional		$71.55	$71.55	$71.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.86 / $58.76 / $68.55	Professional		$53.86	$58.76	$68.55
United Facility/Professional Professional Modifier Low / Median / High Price $54.84 / $58.81 / $73.44	Professional		$54.84	$58.81	$73.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $48.42 / $61.66	Professional		$40.63	$48.42	$61.66