Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $97.72	Professional		$54.95	$70.79	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $363.08	Professional		$57.54	$85.11	$363.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $104.71 / $125.89	Professional		$28.84	$104.71	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $190.55	Professional		$125.89	$151.36	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $89.13 / $123.03	Professional		$50.12	$89.13	$123.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $83.18 / $162.18	Professional		$51.29	$83.18	$162.18