Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.91 / $153.91 / $153.91	Facility		$153.91	$153.91	$153.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $75.48 / $200.00	Professional		$72.23	$75.48	$200.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.91 / $153.91 / $153.91	Facility		$153.91	$153.91	$153.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $71.52	Professional		$71.52	$71.52	$71.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $106.62 / $106.62 / $106.62	Professional		$106.62	$106.62	$106.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $85.83 / $100.13	Professional		$78.68	$85.83	$100.13
United Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $87.63 / $107.28	Professional		$71.52	$87.63	$107.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $73.22 / $88.45 / $108.66	Professional		$73.22	$88.45	$108.66