Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.76 / $75.76 / $75.76	Facility		$75.76	$75.76	$75.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $40.36	Professional		$36.69	$36.69	$40.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $48.53	Professional		$36.69	$36.69	$48.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $45.54 / $45.54 / $45.54	Professional		$45.54	$45.54	$45.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $44.03 / $55.04	Professional		$36.69	$44.03	$55.04
United Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $38.79 / $55.04	Professional		$36.69	$38.79	$55.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $45.27 / $55.97	Professional		$36.96	$45.27	$55.97