Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.73 / $81.31 / $104.35	Facility		$71.73	$81.31	$104.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.76 / $104.35 / $104.35	Professional		$65.76	$104.35	$104.35
HMSA Facility/Professional Professional Modifier Low / Median / High Price $141.36 / $186.45 / $218.22	Professional		$141.36	$186.45	$218.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.96 / $104.35 / $130.44	Professional		$86.96	$104.35	$130.44
United Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $104.35 / $168.79	Professional		$36.52	$104.35	$168.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $97.40 / $157.90 / $218.63	Professional		$97.40	$157.90	$218.63