Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $129.91 / $216.26	Professional		$81.06	$129.91	$216.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.24 / $166.75 / $200.10	Professional		$126.24	$166.75	$200.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $137.91 / $160.66 / $194.74	Professional		$137.91	$160.66	$194.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.68 / $141.40 / $166.75	Professional		$97.68	$141.40	$166.75
United Facility/Professional Professional Modifier Low / Median / High Price $122.57 / $166.58 / $199.86	Professional		$122.57	$166.58	$199.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $113.12 / $170.34	Professional		$29.27	$113.12	$170.34