Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $158.49	Professional		$79.43	$112.20	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $165.96	Professional		$97.72	$134.90	$165.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $2,137.96	Professional		$131.83	$158.49	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $158.49 / $194.98	Professional		$91.20	$158.49	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $131.83 / $169.82	Professional		$72.44	$131.83	$169.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $102.33 / $154.88	Professional		$29.51	$102.33	$154.88