Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $142.16 / $253.50	Professional		$105.27	$142.16	$253.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.67 / $307.52 / $356.04	Professional		$164.67	$307.52	$356.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $212.37 / $251.13 / $446.05	Professional		$212.37	$251.13	$446.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.15 / $313.31 / $398.76	Professional		$148.15	$313.31	$398.76
United Facility/Professional Professional Modifier Low / Median / High Price $314.58 / $337.71 / $436.97	Professional		$314.58	$337.71	$436.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $181.22 / $397.93	Professional		$49.74	$181.22	$397.93