Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.95 / $42.11 / $141.30	Facility		$28.95	$42.11	$141.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $31.59 / $40.68	Professional		$22.81	$31.59	$40.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $42.11 / $42.11	Professional		$26.31	$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 / $47.87 / $68.12	Professional		$42.11	$47.87	$68.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $52.66 / $88.56	Professional		$29.83	$52.66	$88.56