Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $44.67 / $53.70	Facility		$37.15	$44.67	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $56.23	Professional		$28.18	$38.02	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $114.82 / $141.25	Professional		$100.00	$114.82	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $53.70 / $67.61	Professional		$48.98	$53.70	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $44.67 / $67.61	Professional		$22.39	$44.67	$67.61
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $66.07 / $134.90	Professional		$38.02	$66.07	$134.90