Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.46 / $90.46 / $90.46	Facility		$90.46	$90.46	$90.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $47.14 / $4,338.45	Professional		$45.31	$47.14	$4,338.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.46 / $90.46 / $90.46	Facility		$90.46	$90.46	$90.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $45.31 / $45.31	Professional		$45.31	$45.31	$45.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $67.83 / $67.83 / $67.83	Professional		$67.83	$67.83	$67.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.85 / $54.38 / $63.44	Professional		$49.85	$54.38	$63.44
United Facility/Professional Professional Modifier Low / Median / High Price $50.75 / $55.75 / $67.97	Professional		$50.75	$55.75	$67.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.52 / $47.90 / $58.76	Professional		$45.52	$47.90	$58.76