Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.25 / $69.25 / $69.25	Professional		$69.25	$69.25	$69.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.58 / $157.58 / $157.58	Professional		$157.58	$157.58	$157.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $130.57 / $146.69 / $153.61	Professional		$130.57	$146.69	$153.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.06 / $138.66 / $176.48	Professional		$126.06	$138.66	$176.48
United Facility/Professional Professional Modifier Low / Median / High Price $157.58 / $157.58 / $157.58	Professional		$157.58	$157.58	$157.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $93.35 / $113.36 / $154.69	Professional		$93.35	$113.36	$154.69