Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $93.03	Professional		$84.57	$84.57	$93.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $140.94	Professional		$84.57	$84.57	$140.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $146.22 / $146.22 / $146.22	Professional		$146.22	$146.22	$146.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $101.49 / $126.86	Professional		$84.57	$101.49	$126.86
United Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $89.64 / $140.94	Professional		$84.57	$89.64	$140.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $104.52 / $132.24 / $151.51	Professional		$104.52	$132.24	$151.51