Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $29.85 / $46.54	Professional		$20.92	$29.85	$46.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $67.31 / $67.31 / $67.31	Professional	50	$67.31	$67.31	$67.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $36.43 / $43.71	Professional		$28.07	$36.43	$43.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $52.54 / $60.24	Professional		$45.62	$52.54	$60.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $30.89 / $36.43	Professional		$18.57	$30.89	$36.43
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 $29.72 / $36.43 / $46.44	Professional		$29.72	$36.43	$46.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $25.49 / $45.05	Professional		$15.41	$25.49	$45.05