Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.95 / $34.74 / $142.08	Facility		$28.95	$34.74	$142.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $24.56 / $48.18	Professional		$24.56	$24.56	$48.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $42.11 / $42.11	Professional		$27.88	$42.11	$42.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $53.89 / $63.40 / $83.26	Professional		$53.89	$63.40	$83.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $42.11 / $52.64	Professional		$35.09	$42.11	$52.64
United Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $42.11 / $68.12	Professional		$42.11	$42.11	$68.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $67.36 / $88.90	Professional		$29.83	$67.36	$88.90