Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $48.96 / $108.51	Professional		$31.35	$48.96	$108.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.36 / $77.36 / $77.36	Professional	50	$77.36	$77.36	$77.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $83.06 / $99.68	Professional		$64.73	$83.06	$99.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $51.81 / $61.26 / $88.10	Professional		$51.81	$61.26	$88.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $70.44 / $83.06	Professional		$27.72	$70.44	$83.06
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 $55.18 / $83.06 / $105.20	Professional		$55.18	$83.06	$105.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $34.82 / $90.59	Professional		$23.31	$34.82	$90.59