Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.09 / $65.09 / $65.09	Facility		$65.09	$65.09	$65.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $39.68	Professional		$36.74	$36.74	$39.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $43.98	Professional		$36.74	$36.74	$43.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $45.63 / $45.63 / $45.63	Professional		$45.63	$45.63	$45.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $44.09 / $55.11	Professional		$36.74	$44.09	$55.11
United Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $37.61 / $55.11	Professional		$36.74	$37.61	$55.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $42.02 / $47.28	Professional		$32.57	$42.02	$47.28