Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $57.85 / $150.00	Professional		$38.00	$57.85	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.17 / $74.70 / $90.00	Professional		$49.17	$74.70	$90.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $73.04 / $87.19	Professional		$62.08	$73.04	$87.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $100.00 / $159.46	Professional		$48.58	$100.00	$159.46
United Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $62.87 / $62.87	Professional		$47.15	$62.87	$62.87
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $19.68 / $26.39	Professional		$19.68	$19.68	$26.39