Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.24 / $53.24 / $53.24	Facility		$53.24	$53.24	$53.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.46 / $34.60	Professional		$25.20	$25.46	$34.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.24 / $53.24 / $53.24	Facility		$53.24	$53.24	$53.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $31.86	Professional		$25.20	$25.20	$31.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $31.21 / $31.21 / $31.21	Professional		$31.21	$31.21	$31.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $30.24 / $37.81	Professional		$25.20	$30.24	$37.81
United Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $26.71 / $37.79	Professional		$25.20	$26.71	$37.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $32.04 / $55.69	Professional		$23.50	$32.04	$55.69