Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.92 / $64.70 / $78.43	Facility		$53.92	$64.70	$78.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.17 / $72.38 / $89.75	Professional		$69.17	$72.38	$89.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.43 / $78.43 / $78.43	Professional		$78.43	$78.43	$78.43
HMSA Facility/Professional Professional Modifier Low / Median / High Price $89.84 / $98.82 / $123.53	Professional		$89.84	$98.82	$123.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.90 / $78.43 / $91.50	Professional		$71.90	$78.43	$91.50
United Facility/Professional Professional Modifier Low / Median / High Price $78.43 / $89.17 / $126.88	Professional		$78.43	$89.17	$126.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $94.07 / $160.51	Professional		$55.56	$94.07	$160.51