Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.95 / $34.74 / $473.40	Facility		$28.95	$34.74	$473.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.99 / $40.99 / $40.99	Professional		$40.99	$40.99	$40.99
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 $57.06 / $71.45 / $83.26	Professional		$57.06	$71.45	$83.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $42.11 / $49.13	Professional		$38.60	$42.11	$49.13
United Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $49.04 / $68.12	Professional		$42.11	$49.04	$68.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $64.62 / $88.27	Professional		$35.09	$64.62	$88.27