Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.96 / $19.16 / $1,602.25	Facility		$15.96	$19.16	$1,602.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $16.88 / $16.88	Professional		$16.88	$16.88	$16.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $23.22 / $23.22	Professional		$15.31	$23.22	$23.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $31.47 / $41.52 / $48.60	Professional		$31.47	$41.52	$48.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $23.22 / $29.03	Professional		$19.35	$23.22	$29.03
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $23.22 / $37.58	Professional		$8.13	$23.22	$37.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $35.17 / $48.69	Professional		$21.67	$35.17	$48.69