Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.40 / $74.40 / $74.40	Facility		$74.40	$74.40	$74.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.75 / $51.75 / $53.85	Professional		$51.75	$51.75	$53.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.27 / $101.27 / $101.27	Facility		$101.27	$101.27	$101.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.85 / $140.22 / $140.22	Professional		$53.85	$140.22	$140.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $127.48 / $133.49 / $133.49	Professional		$127.48	$133.49	$133.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.24 / $127.48 / $178.47	Professional		$89.24	$127.48	$178.47
United Facility/Professional Professional Modifier Low / Median / High Price $65.79 / $126.21 / $159.00	Professional		$65.79	$126.21	$159.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $91.24 / $106.21 / $121.34	Professional		$91.24	$106.21	$121.34