Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.76 / $625.23 / $695.22	Facility		$106.76	$625.23	$695.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $15.88 / $620.30	Professional		$3.02	$15.88	$620.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.69 / $122.69 / $122.69	Facility		$122.69	$122.69	$122.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $5.56 / $5.56	Professional		$5.56	$5.56	$5.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $3.62 / $4.23	Professional		$3.32	$3.62	$4.23
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.53 / $4.57	Professional		$3.02	$4.53	$4.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $61.15 / $76.44	Professional		$2.89	$61.15	$76.44