Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.37 / $70.69 / $90.72	Facility		$62.37	$70.69	$90.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.86 / $15.86 / $15.86	Professional		$15.86	$15.86	$15.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $90.72 / $90.72	Professional		$16.48	$90.72	$90.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $67.29 / $79.16 / $94.50	Professional		$67.29	$79.16	$94.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $90.72 / $113.40	Professional		$75.59	$90.72	$113.40
United Facility/Professional Professional Modifier Low / Median / High Price $31.75 / $90.72 / $113.40	Professional		$31.75	$90.72	$113.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $102.06 / $170.10	Professional		$64.26	$102.06	$170.10