Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $75.15 / $96.44	Facility		$66.31	$75.15	$96.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.43 / $96.44 / $96.44	Professional		$62.43	$96.44	$96.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $130.62 / $172.28 / $201.64	Professional		$130.62	$172.28	$201.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $96.44 / $120.56	Professional		$80.37	$96.44	$120.56
United Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $96.44 / $155.94	Professional		$33.76	$96.44	$155.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $144.78 / $202.01	Professional		$68.31	$144.78	$202.01