Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.23 / $47.86 / $61.43	Facility		$42.23	$47.86	$61.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $31.08 / $31.08	Professional		$31.08	$31.08	$31.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $61.43 / $61.43	Professional		$31.80	$61.43	$61.43
HMSA Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $81.77 / $95.29	Professional		$69.30	$81.77	$95.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.31 / $61.43 / $71.67	Professional		$56.31	$61.43	$71.67
United Facility/Professional Professional Modifier Low / Median / High Price $61.43 / $72.58 / $77.95	Professional		$61.43	$72.58	$77.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $72.94 / $103.80	Professional		$56.88	$72.94	$103.80