Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.86 / $64.44 / $82.70	Facility		$56.86	$64.44	$82.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.70 / $82.70 / $82.70	Professional		$82.70	$82.70	$82.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $121.70 / $134.63	Professional		$101.49	$121.70	$134.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $82.70 / $103.38	Professional		$68.92	$82.70	$103.38
United Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $82.70 / $103.38	Professional		$28.95	$82.70	$103.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.58 / $101.31 / $155.07	Professional		$58.58	$101.31	$155.07