Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.35 / $65.00 / $83.42	Facility		$57.35	$65.00	$83.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.42 / $83.42 / $83.42	Professional		$83.42	$83.42	$83.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $61.88 / $72.80 / $86.90	Professional		$61.88	$72.80	$86.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $83.42 / $104.28	Professional		$69.52	$83.42	$104.28
United Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $83.42 / $104.28	Professional		$29.20	$83.42	$104.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $86.90 / $125.14	Professional		$48.66	$86.90	$125.14