Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.25 / $54.69 / $70.19	Facility		$48.25	$54.69	$70.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $29.25 / $29.25	Professional		$29.25	$29.25	$29.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.19 / $70.19 / $70.19	Professional		$70.19	$70.19	$70.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $93.90 / $110.80 / $129.11	Professional		$93.90	$110.80	$129.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $70.19 / $81.89	Professional		$64.34	$70.19	$81.89
United Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $70.19 / $87.74	Professional		$58.49	$70.19	$87.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $85.98 / $131.60	Professional		$49.72	$85.98	$131.60