Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.76 / $85.76 / $85.76	Facility		$85.76	$85.76	$85.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $63.26	Professional		$57.51	$57.51	$63.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.76 / $85.76 / $85.76	Facility		$85.76	$85.76	$85.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $57.51 / $61.14	Professional		$49.72	$57.51	$61.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $74.39 / $74.39 / $74.39	Professional		$74.39	$74.39	$74.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $69.01 / $86.26	Professional		$57.51	$69.01	$86.26
United Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $57.51 / $86.27	Professional		$51.97	$57.51	$86.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $43.75 / $61.65	Professional		$6.94	$43.75	$61.65