Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.57 / $99.24 / $127.37	Facility		$87.57	$99.24	$127.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.04 / $127.37 / $127.37	Professional		$51.04	$127.37	$127.37
HMSA Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.10 / $161.60	Professional		$104.71	$138.10	$161.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.14 / $127.37 / $159.21	Professional		$106.14	$127.37	$159.21
United Facility/Professional Professional Modifier Low / Median / High Price $44.58 / $127.37 / $159.21	Professional		$44.58	$127.37	$159.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $127.93 / $185.75	Professional		$94.45	$127.93	$185.75