Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $25.12 / $28.18	Facility		$20.89	$25.12	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.05 / $74.13	Professional		$10.00	$19.05	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $75.86 / $141.25	Professional		$28.18	$75.86	$141.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $48.98 / $104.71	Professional		$44.67	$48.98	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $31.62	Professional		$21.88	$25.70	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $70.79 / $109.65	Professional		$26.30	$70.79	$109.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $40.74 / $151.36	Professional		$23.99	$40.74	$151.36