Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.76 / $187.75 / $264.64	Professional		$109.76	$187.75	$264.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.30 / $264.39 / $353.34	Professional		$139.30	$264.39	$353.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $195.90 / $231.65 / $378.92	Professional		$195.90	$231.65	$378.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.22 / $310.94 / $395.74	Professional		$139.22	$310.94	$395.74
United Facility/Professional Professional Modifier Low / Median / High Price $288.32 / $353.34 / $427.65	Professional		$288.32	$353.34	$427.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.82 / $167.17 / $395.44	Professional		$49.82	$167.17	$395.44