Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $70.79 / $85.11	Facility		$58.88	$70.79	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $69.18	Professional		$38.02	$54.95	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $85.11	Professional		$41.69	$41.69	$85.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $128.82	Professional		$91.20	$117.49	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $107.15	Professional		$70.79	$85.11	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $85.11 / $107.15	Professional		$30.20	$85.11	$107.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $134.90	Professional		$77.62	$95.50	$134.90