Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.55 / $76.56 / $98.26	Facility		$67.55	$76.56	$98.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.97 / $98.26 / $98.26	Professional		$54.97	$98.26	$98.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $106.28 / $134.91 / $164.18	Professional		$106.28	$134.91	$164.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.88 / $98.26 / $122.82	Professional		$81.88	$98.26	$122.82
United Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $98.26 / $134.33	Professional		$34.39	$98.26	$134.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.59 / $104.64 / $184.23	Professional		$69.59	$104.64	$184.23