Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $80.09 / $102.67	Professional		$80.09	$80.09	$102.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.66 / $139.78 / $167.73	Professional		$106.66	$139.78	$167.73
HMSA Facility/Professional Professional Modifier Low / Median / High Price $119.91 / $139.69 / $159.04	Professional		$119.91	$139.69	$159.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.94 / $118.53 / $139.78	Professional		$82.94	$118.53	$139.78
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 $107.36 / $139.78 / $173.06	Professional		$107.36	$139.78	$173.06
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $96.87 / $145.87	Professional		$29.27	$96.87	$145.87