Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.92 / $52.92 / $52.92	Professional		$52.92	$52.92	$52.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.59 / $67.79 / $93.18	Professional		$63.59	$67.79	$93.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $80.37 / $92.43	Professional		$69.92	$80.37	$92.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.96 / $61.04 / $71.22	Professional		$55.96	$61.04	$71.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.89 / $73.02 / $94.76	Professional		$51.89	$73.02	$94.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.65 / $153.27 / $12,600.00	Professional		$51.65	$153.27	$12,600.00