Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $100.00	Professional		$58.88	$70.79	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $141.25	Professional		$104.71	$128.82	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $89.13 / $104.71	Professional		$81.28	$89.13	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $120.23	Professional		$81.28	$95.50	$120.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $281.84	Professional		$81.28	$104.71	$281.84