Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $64.20 / $64.20	Facility		$64.20	$64.20	$64.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $221.22 / $221.22	Professional		$40.14	$221.22	$221.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.85 / $167.85 / $167.85	Facility		$167.85	$167.85	$167.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.64 / $86.64 / $232.42	Professional		$86.64	$86.64	$232.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $211.29 / $221.25 / $221.25	Professional		$211.29	$221.25	$221.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $211.29 / $295.81	Professional		$147.90	$211.29	$295.81
United Facility/Professional Professional Modifier Low / Median / High Price $95.18 / $167.85 / $232.42	Professional		$95.18	$167.85	$232.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $92.40 / $170.20 / $201.11	Professional		$92.40	$170.20	$201.11