Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.00 / $148.00 / $148.00	Facility		$148.00	$148.00	$148.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.98 / $108.21 / $5,705.70	Professional		$81.98	$108.21	$5,705.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.00 / $148.00 / $148.00	Facility		$148.00	$148.00	$148.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $78.79 / $78.79	Professional		$78.79	$78.79	$78.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $118.89 / $118.89 / $140.29	Professional		$118.89	$118.89	$140.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.67 / $94.55 / $110.31	Professional		$86.67	$94.55	$110.31
United Facility/Professional Professional Modifier Low / Median / High Price $88.26 / $97.72 / $118.20	Professional		$88.26	$97.72	$118.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $81.01 / $98.53	Professional		$36.97	$81.01	$98.53