Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.82 / $51.93 / $66.65	Facility		$45.82	$51.93	$66.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.65 / $66.65 / $66.65	Professional		$66.65	$66.65	$66.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $49.44 / $58.16 / $69.43	Professional		$49.44	$58.16	$69.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.54 / $66.65 / $83.31	Professional		$55.54	$66.65	$83.31
United Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $66.65 / $83.31	Professional		$23.33	$66.65	$83.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.88 / $69.43 / $99.97	Professional		$38.88	$69.43	$99.97