Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.92 / $127.92 / $127.92	Facility		$127.92	$127.92	$127.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $60.09 / $64.59	Professional		$57.92	$60.09	$64.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.91 / $127.91 / $127.91	Facility		$127.91	$127.91	$127.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $73.87	Professional		$61.54	$61.54	$73.87
HMSA Facility/Professional Professional Modifier Low / Median / High Price $78.67 / $78.67 / $78.67	Professional		$78.67	$78.67	$78.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $670.00	Professional		$5.00	$5.00	$670.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.80 / $61.64 / $90.51	Professional		$59.80	$61.64	$90.51
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $70.59 / $90.95	Professional		$54.50	$70.59	$90.95