Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.60 / $48.28 / $61.97	Facility		$42.60	$48.28	$61.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $61.75 / $61.75	Professional		$61.75	$61.75	$61.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $61.97 / $61.97	Professional		$32.20	$61.97	$61.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $83.97 / $110.75 / $129.65	Professional		$83.97	$110.75	$129.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $61.97 / $77.45	Professional		$51.64	$61.97	$77.45
United Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $61.97 / $100.23	Professional		$21.69	$61.97	$100.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.84 / $93.81 / $129.88	Professional		$57.84	$93.81	$129.88