Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.24 / $121.24 / $121.24	Facility		$121.24	$121.24	$121.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $81.33	Professional		$73.94	$73.94	$81.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.24 / $121.24 / $121.24	Facility		$121.24	$121.24	$121.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $73.94 / $84.44	Professional		$72.40	$73.94	$84.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $87.61 / $87.61 / $87.61	Professional		$87.61	$87.61	$87.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $88.72 / $110.90	Professional		$73.94	$88.72	$110.90
United Facility/Professional Professional Modifier Low / Median / High Price $71.77 / $73.94 / $110.91	Professional		$71.77	$73.94	$110.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $78.34 / $90.78	Professional		$57.92	$78.34	$90.78