Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.95 / $34.74 / $79.83	Facility		$28.95	$34.74	$79.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $31.28 / $38.60	Professional		$18.60	$31.28	$38.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $42.11 / $42.11	Professional		$42.11	$42.11	$42.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $49.92 / $55.23	Professional		$41.63	$49.92	$55.23
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 $35.09 / $42.11 / $52.64	Professional		$35.09	$42.11	$52.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $47.02 / $63.16	Professional		$29.83	$47.02	$63.16