Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.80 / $89.31 / $114.62	Facility		$78.80	$89.31	$114.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $114.62 / $114.62	Professional		$64.00	$114.62	$114.62
HMSA Facility/Professional Professional Modifier Low / Median / High Price $123.98 / $157.41 / $191.54	Professional		$123.98	$157.41	$191.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $114.62 / $143.28	Professional		$95.52	$114.62	$143.28
United Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $114.62 / $156.72	Professional		$40.11	$114.62	$156.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $81.19 / $122.09 / $214.92	Professional		$81.19	$122.09	$214.92