Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $53.70 / $64.57	Facility		$44.67	$53.70	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $56.23 / $501.19	Professional		$45.71	$56.23	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $67.61	Professional		$53.70	$64.57	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $81.28	Professional		$53.70	$64.57	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $53.70 / $81.28	Professional		$22.91	$53.70	$81.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $74.13 / $97.72	Professional		$45.71	$74.13	$97.72