Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.03 / $62.36 / $80.04	Facility		$55.03	$62.36	$80.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.79 / $79.79 / $79.79	Professional		$79.79	$79.79	$79.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $80.04 / $80.04	Professional		$55.95	$80.04	$80.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $108.42 / $143.01 / $167.36	Professional		$108.42	$143.01	$167.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $80.04 / $100.05	Professional		$66.70	$80.04	$100.05
United Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $80.04 / $129.47	Professional		$28.01	$80.04	$129.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $121.11 / $167.69	Professional		$74.70	$121.11	$167.69