Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.48 / $75.48 / $75.48	Facility		$75.48	$75.48	$75.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $44.38	Professional		$36.67	$36.67	$44.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.47 / $75.47 / $75.47	Facility		$75.47	$75.47	$75.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $56.29	Professional		$36.67	$36.67	$56.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $58.27 / $58.27 / $58.27	Professional		$58.27	$58.27	$58.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $44.00 / $55.01	Professional		$36.67	$44.00	$55.01
United Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $38.86 / $56.16	Professional		$36.67	$38.86	$56.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $52.15 / $139.81	Professional		$40.43	$52.15	$139.81