Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.76 / $63.76 / $63.76	Facility		$63.76	$63.76	$63.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $32.17	Professional		$26.71	$26.71	$32.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.76 / $63.76 / $63.76	Facility		$63.76	$63.76	$63.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $40.65	Professional		$26.71	$26.71	$40.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $36.75 / $36.75	Professional		$36.75	$36.75	$36.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $32.04 / $40.07	Professional		$26.71	$32.04	$40.07
United Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $28.31 / $40.07	Professional		$26.71	$28.31	$40.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $44.00 / $89.61	Professional		$32.21	$44.00	$89.61