Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.95 / $34.74 / $113.28	Facility		$28.95	$34.74	$113.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $40.99 / $66.53	Professional		$18.60	$40.99	$66.53
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 / $63.75 / $88.27	Professional		$35.09	$63.75	$88.27