Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.10 / $59.10 / $59.10	Facility		$59.10	$59.10	$59.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $33.28 / $45.26	Professional		$32.96	$33.28	$45.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.09 / $59.09 / $59.09	Facility		$59.09	$59.09	$59.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $32.96 / $38.76	Professional		$32.96	$32.96	$38.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $40.21 / $40.21	Professional		$40.21	$40.21	$40.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $39.56 / $49.45	Professional		$32.96	$39.56	$49.45
United Facility/Professional Professional Modifier Low / Median / High Price $32.94 / $34.65 / $49.44	Professional		$32.94	$34.65	$49.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $33.49 / $41.67	Professional		$30.44	$33.49	$41.67