Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.56 / $67.50 / $86.63	Facility		$59.56	$67.50	$86.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.18 / $52.18 / $52.18	Professional		$52.18	$52.18	$52.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $86.63 / $86.63	Professional		$39.26	$86.63	$86.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $68.03 / $85.18 / $99.26	Professional		$68.03	$85.18	$99.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.19 / $86.63 / $108.29	Professional		$72.19	$86.63	$108.29
United Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $86.63 / $108.29	Professional		$30.32	$86.63	$108.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $97.46 / $162.43	Professional		$61.36	$97.46	$162.43