Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.78 / $43.95 / $56.40	Facility		$38.78	$43.95	$56.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $35.75 / $39.31	Professional		$6.23	$35.75	$39.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $56.40 / $56.40	Professional		$56.40	$56.40	$56.40
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 $51.70 / $56.40 / $65.80	Professional		$51.70	$56.40	$65.80
United Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $56.40 / $70.50	Professional		$47.00	$56.40	$70.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.95 / $69.09 / $164.33	Professional		$39.95	$69.09	$164.33