Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.10 / $93.10 / $93.10	Facility		$93.10	$93.10	$93.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $23.95	Professional		$21.70	$21.70	$23.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.11 / $93.11 / $93.11	Facility		$93.11	$93.11	$93.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $41.65	Professional		$21.70	$21.70	$41.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $29.28 / $29.28	Professional		$29.28	$29.28	$29.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $26.04 / $32.54	Professional		$21.70	$26.04	$32.54
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $23.00 / $32.54	Professional		$21.55	$23.00	$32.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $30.34 / $58.08	Professional		$17.21	$30.34	$58.08