Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.80 / $199.81 / $494.70	Facility		$112.80	$199.81	$494.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $35.08 / $140.00	Professional		$14.65	$35.08	$140.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $46.93 / $46.93	Professional		$46.93	$46.93	$46.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $22.19 / $27.74	Professional		$20.80	$22.19	$27.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.47 / $17.96 / $20.96	Professional		$16.47	$17.96	$20.96
United Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $23.24 / $26.61	Professional		$18.71	$23.24	$26.61
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.42 / $26.51 / $69.53	Professional		$19.42	$26.51	$69.53