Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $103.00	Professional		$50.00	$85.00	$103.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.03 / $69.61 / $103.00	Professional		$38.03	$69.61	$103.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $111.57 / $116.83 / $116.83	Professional		$111.57	$116.83	$116.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $140.00 / $140.00	Professional		$140.00	$140.00	$140.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.76 / $103.00 / $166.97	Professional		$54.76	$103.00	$166.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $68.00 / $195.00	Professional		$56.00	$68.00	$195.00