Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $60.34 / $68.84	Professional		$38.79	$60.34	$68.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $66.44 / $119.61	Professional		$55.25	$66.44	$119.61
HMSA Facility/Professional Professional Modifier Low / Median / High Price $108.74 / $113.86 / $113.86	Professional		$108.74	$113.86	$113.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.12 / $108.74 / $152.24	Professional		$76.12	$108.74	$152.24
United Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $64.12 / $139.77	Professional		$32.08	$64.12	$139.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $93.18 / $101.99 / $108.74	Professional		$93.18	$101.99	$108.74