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 $32.36 / $56.23 / $81.28	Professional		$32.36	$56.23	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $77.62	Professional		$30.90	$30.90	$77.62
HMSA Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $85.11	Professional		$66.07	$77.62	$85.11
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 $29.51 / $58.88 / $97.72	Professional		$29.51	$58.88	$97.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $147.91	Professional		$77.62	$104.71	$147.91