Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $64.57 / $77.62	Facility		$53.70	$64.57	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.10 / $100.00	Professional		$47.86	$63.10	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $77.62	Professional		$46.77	$46.77	$77.62
HMSA Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $128.82	Professional		$89.13	$104.71	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $77.62 / $97.72	Professional		$72.44	$77.62	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $77.62 / $125.89	Professional		$44.67	$77.62	$125.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $95.50 / $165.96	Professional		$54.95	$95.50	$165.96