Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.32 / $122.26 / $148.69	Professional		$92.32	$122.26	$148.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.37 / $159.76 / $191.72	Professional		$130.37	$159.76	$191.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $144.83 / $166.82 / $2,278.00	Professional		$144.83	$166.82	$2,278.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.78 / $140.59 / $166.15	Professional		$111.78	$140.59	$166.15
United Facility/Professional Professional Modifier Low / Median / High Price $130.37 / $159.76 / $320.02	Professional		$130.37	$159.76	$320.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.33 / $107.17 / $148.01	Professional		$21.33	$107.17	$148.01