Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.28 / $122.08 / $122.08	Professional		$102.28	$122.08	$122.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.78 / $163.50 / $163.50	Professional		$132.78	$163.50	$163.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $195.69 / $4,334.00	Professional		$170.08	$195.69	$4,334.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.88 / $156.96 / $183.12	Professional		$143.88	$156.96	$183.12
United Facility/Professional Professional Modifier Low / Median / High Price $133.41 / $163.50 / $207.11	Professional		$133.41	$163.50	$207.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $155.88 / $242.11	Professional		$21.88	$155.88	$242.11