Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.76 / $69.98 / $89.83	Facility		$61.76	$69.98	$89.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.11 / $54.11 / $460.39	Professional		$54.11	$54.11	$460.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $89.83 / $89.83	Professional		$55.95	$89.83	$89.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $125.95 / $131.88 / $161.52	Professional		$125.95	$131.88	$161.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $89.83 / $112.29	Professional		$74.86	$89.83	$112.29
United Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $89.83 / $145.31	Professional		$31.44	$89.83	$145.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $112.17 / $178.45	Professional		$74.86	$112.17	$178.45