Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.15 / $34.97 / $2,189.00	Facility		$29.15	$34.97	$2,189.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $47.05 / $90.00	Professional		$45.22	$47.05	$90.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $21.20 / $21.20	Professional		$21.20	$21.20	$21.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $47.12 / $56.25	Professional		$40.04	$47.12	$56.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $42.40 / $53.00	Professional		$35.33	$42.40	$53.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $42.40 / $77.42	Professional		$14.84	$42.40	$77.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $63.00 / $79.48	Professional		$55.47	$63.00	$79.48