Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.87 / $76.83 / $78.68	Professional		$63.87	$76.83	$78.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.77 / $89.84 / $107.63	Professional		$81.77	$89.84	$107.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $20.65 / $20.65	Professional		$20.65	$20.65	$20.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $670.00	Professional		$5.00	$5.00	$670.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $92.57 / $138.86	Professional		$80.95	$92.57	$138.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $95.12 / $95.12 / $95.12	Professional		$95.12	$95.12	$95.12