Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $52.77	Professional		$47.97	$47.97	$52.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $58.11	Professional		$47.97	$47.97	$58.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $70.69 / $70.69 / $70.69	Professional		$70.69	$70.69	$70.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $57.57 / $71.95	Professional		$47.97	$57.57	$71.95
United Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $71.95	Professional		$47.97	$47.97	$71.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.61 / $58.78 / $62.46	Professional		$47.61	$58.78	$62.46