Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.14 / $60.22 / $77.29	Facility		$53.14	$60.22	$77.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $75.23 / $396.12	Professional		$74.50	$75.23	$396.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.04 / $77.29 / $77.29	Professional		$51.04	$77.29	$77.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $235.60 / $310.75 / $345.81	Professional		$235.60	$310.75	$345.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $77.29 / $96.62	Professional		$64.41	$77.29	$96.62
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $77.29 / $125.03	Professional		$27.05	$77.29	$125.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $116.09 / $161.97	Professional		$54.75	$116.09	$161.97