Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.38 / $75.23 / $96.55	Facility		$66.38	$75.23	$96.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $96.55 / $96.55	Professional		$6.87	$96.55	$96.55
HMSA Facility/Professional Professional Modifier Low / Median / High Price $18.46 / $22.59 / $84.25	Professional		$18.46	$22.59	$84.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $96.55 / $120.69	Professional		$80.45	$96.55	$120.69
United Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $96.55 / $120.69	Professional		$12.03	$96.55	$120.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $21.05 / $118.28	Professional		$13.23	$21.05	$118.28