Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.53 / $60.66 / $77.86	Facility		$53.53	$60.66	$77.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $77.86 / $77.86	Professional		$51.43	$77.86	$77.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $105.51 / $139.16 / $162.80	Professional		$105.51	$139.16	$162.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.88 / $77.86 / $97.32	Professional		$64.88	$77.86	$97.32
United Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $77.86 / $125.94	Professional		$27.25	$77.86	$125.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $117.83 / $163.15	Professional		$72.67	$117.83	$163.15