Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $225.00 / $225.00	Facility		$225.00	$225.00	$225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $45.45 / $71.20	Professional		$25.62	$45.45	$71.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.81 / $55.48 / $66.56	Professional		$41.81	$55.48	$66.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $45.39 / $52.88 / $64.53	Professional		$45.39	$52.88	$64.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $47.04 / $55.48	Professional		$31.24	$47.04	$55.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $55.48 / $66.90	Professional		$39.25	$55.48	$66.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $35.24 / $56.45	Professional		$25.72	$35.24	$56.45