Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $165.96	Professional		$85.11	$117.49	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $177.83	Professional		$109.65	$134.90	$177.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $173.78 / $2,137.96	Professional		$154.88	$173.78	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $154.88 / $190.55	Professional		$97.72	$154.88	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $134.90 / $165.96	Professional		$77.62	$134.90	$165.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $112.20 / $169.82	Professional		$29.51	$112.20	$169.82