Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.88 / $110.88 / $110.88	Facility		$110.88	$110.88	$110.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $50.86 / $50.86	Professional		$50.86	$50.86	$50.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.89 / $110.89 / $110.89	Facility		$110.89	$110.89	$110.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $50.37	Professional		$50.37	$50.37	$50.37
HMSA Facility/Professional Professional Modifier Low / Median / High Price $87.63 / $87.63 / $87.63	Professional		$87.63	$87.63	$87.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.40 / $60.44 / $70.51	Professional		$55.40	$60.44	$70.51
United Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $72.02 / $75.56	Professional		$56.07	$72.02	$75.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $56.09 / $72.89	Professional		$26.85	$56.09	$72.89