Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $47.15 / $533.61	Facility		$39.29	$47.15	$533.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.96 / $47.63 / $116.16	Professional		$37.96	$47.63	$116.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.67 / $57.16 / $57.16	Professional		$38.67	$57.16	$57.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $102.17 / $119.57	Professional		$77.45	$102.17	$119.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $57.16 / $71.45	Professional		$47.63	$57.16	$71.45
United Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $57.16 / $92.47	Professional		$20.00	$57.16	$92.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $85.84 / $119.77	Professional		$47.63	$85.84	$119.77