Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $125.73 / $215.84	Professional		$88.93	$125.73	$215.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.94 / $165.10 / $199.82	Professional		$116.94	$165.10	$199.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $125.84 / $148.80 / $177.75	Professional		$125.84	$148.80	$177.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.66 / $141.19 / $166.51	Professional		$96.66	$141.19	$166.51
United Facility/Professional Professional Modifier Low / Median / High Price $115.29 / $165.70 / $186.77	Professional		$115.29	$165.70	$186.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $103.25 / $155.47	Professional		$29.27	$103.25	$155.47