Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Facility		$300.00	$300.00	$300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $53.00 / $300.00	Professional		$32.50	$53.00	$300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $225.00 / $270.00	Professional		$165.00	$225.00	$270.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.06 / $140.00 / $262.39	Professional		$89.06	$140.00	$262.39
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $64.00 / $77.00	Professional		$30.00	$64.00	$77.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $49.30 / $71.83	Professional		$8.69	$49.30	$71.83