Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $69.18 / $85.11	Facility		$57.54	$69.18	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $151.36	Professional		$48.98	$67.61	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $56.23	Professional		$50.12	$50.12	$56.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $173.78	Professional		$120.23	$154.88	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.11 / $104.71	Professional		$77.62	$85.11	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $85.11 / $134.90	Professional		$33.88	$85.11	$134.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $128.82 / $181.97	Professional		$60.26	$128.82	$181.97