Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.30 / $85.30 / $118.28	Professional		$85.30	$85.30	$118.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.67 / $162.74 / $195.29	Professional		$122.67	$162.74	$195.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $149.56 / $191.21	Professional		$128.37	$149.56	$191.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.84 / $138.00 / $162.74	Professional		$88.84	$138.00	$162.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.42 / $162.74 / $198.20	Professional		$122.42	$162.74	$198.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $108.69 / $167.26	Professional		$29.27	$108.69	$167.26