Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.18 / $138.18 / $138.18	Facility		$138.18	$138.18	$138.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $107.62	Professional		$78.37	$78.37	$107.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.19 / $138.19 / $138.19	Facility		$138.19	$138.19	$138.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $100.30	Professional		$78.37	$78.37	$100.30
HMSA Facility/Professional Professional Modifier Low / Median / High Price $95.99 / $95.99 / $95.99	Professional		$95.99	$95.99	$95.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $94.04 / $117.55	Professional		$78.37	$94.04	$117.55
United Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $81.26 / $117.56	Professional		$78.37	$81.26	$117.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $77.52 / $96.86	Professional		$60.55	$77.52	$96.86