Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $66.07 / $81.28	Facility		$54.95	$66.07	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $79.43	Professional		$50.12	$60.26	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $81.28	Professional		$53.70	$53.70	$81.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $165.96	Professional		$117.49	$147.91	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $100.00	Professional		$67.61	$81.28	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $93.33 / $131.83	Professional		$28.18	$93.33	$131.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $169.82	Professional		$75.86	$120.23	$169.82