Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.54 / $892.32 / $967.12	Facility		$249.54	$892.32	$967.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $45.16 / $320.48	Professional		$40.64	$45.16	$320.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.92 / $163.92 / $163.92	Facility		$163.92	$163.92	$163.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $49.93	Professional		$40.65	$40.65	$49.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $60.75 / $60.75 / $60.75	Professional		$60.75	$60.75	$60.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $48.78 / $56.91	Professional		$44.72	$48.78	$56.91
United Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $49.93 / $60.98	Professional		$25.65	$49.93	$60.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.78 / $59.51 / $63.10	Professional		$45.78	$59.51	$63.10