Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.06 / $88.06 / $88.06	Facility		$88.06	$88.06	$88.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $56.20 / $94.64	Professional		$55.65	$56.20	$94.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.05 / $88.05 / $88.05	Facility		$88.05	$88.05	$88.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.05 / $55.65 / $62.36	Professional		$52.05	$55.65	$62.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $64.70 / $64.70	Professional		$64.70	$64.70	$64.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $66.78 / $83.47	Professional		$55.65	$66.78	$83.47
United Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $55.65 / $83.48	Professional		$53.00	$55.65	$83.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $51.85 / $62.88	Professional		$39.82	$51.85	$62.88