Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Facility		$71.40	$71.40	$71.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.15 / $42.16 / $57.89	Professional		$42.15	$42.16	$57.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.39 / $71.39 / $71.39	Facility		$71.39	$71.39	$71.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.85 / $42.16 / $49.16	Professional		$41.85	$42.16	$49.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $51.01 / $51.01 / $51.01	Professional		$51.01	$51.01	$51.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $50.59 / $63.24	Professional		$42.16	$50.59	$63.24
United Facility/Professional Professional Modifier Low / Median / High Price $41.79 / $44.55 / $63.24	Professional		$41.79	$44.55	$63.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $41.85 / $52.58	Professional		$36.27	$41.85	$52.58