Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.62 / $135.62 / $135.62	Facility		$135.62	$135.62	$135.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $62.05 / $84.37	Professional		$61.44	$62.05	$84.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $75.68	Professional		$61.44	$61.44	$75.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $78.51 / $78.51 / $78.51	Professional		$78.51	$78.51	$78.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $73.72 / $92.15	Professional		$61.44	$73.72	$92.15
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $65.13 / $92.16	Professional		$61.44	$65.13	$92.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $81.34 / $98.98	Professional		$65.48	$81.34	$98.98