Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.66 / $138.66 / $208.11	Professional		$138.66	$138.66	$208.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.65 / $310.08 / $372.11	Professional		$230.65	$310.08	$372.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $217.25 / $253.10 / $346.80	Professional		$217.25	$253.10	$346.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.55 / $262.95 / $310.08	Professional		$155.55	$262.95	$310.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.49 / $302.64 / $362.43	Professional		$220.49	$302.64	$362.43
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $195.54 / $310.94	Professional		$38.86	$195.54	$310.94