Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.45 / $62.84 / $80.65	Facility		$55.45	$62.84	$80.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.99 / $80.65 / $80.65	Professional		$42.99	$80.65	$80.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $109.27 / $144.13 / $168.68	Professional		$109.27	$144.13	$168.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $80.65 / $100.82	Professional		$67.20	$80.65	$100.82
United Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $80.65 / $130.47	Professional		$28.23	$80.65	$130.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.28 / $122.04 / $168.98	Professional		$75.28	$122.04	$168.98