Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $15.60 / $15.60	Facility		$15.60	$15.60	$15.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.49 / $60.49 / $62.93	Professional		$60.49	$60.49	$62.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.53 / $161.53 / $161.53	Facility		$161.53	$161.53	$161.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.22 / $68.22 / $223.67	Professional		$68.22	$68.22	$223.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $203.34 / $212.92 / $212.92	Professional		$203.34	$212.92	$212.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $203.34 / $284.68	Professional		$122.00	$203.34	$284.68
United Facility/Professional Professional Modifier Low / Median / High Price $76.88 / $161.53 / $223.67	Professional		$76.88	$161.53	$223.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $88.91 / $163.79 / $193.54	Professional		$88.91	$163.79	$193.54