Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,425.72 / $1,425.72 / $1,643.54	Facility		$1,425.72	$1,425.72	$1,643.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $428.42 / $2,570.53	Professional		$8.02	$428.42	$2,570.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.27 / $20.27 / $20.27	Facility		$20.27	$20.27	$20.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $7.95 / $7.95	Professional		$7.95	$7.95	$7.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $13.37 / $13.37	Professional		$13.37	$13.37	$13.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $9.53 / $11.13	Professional		$8.75	$9.53	$11.13
United Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $7.95 / $11.93	Professional		$7.95	$7.95	$11.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $11.82 / $15.33	Professional		$9.09	$11.82	$15.33