Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.98 / $197.51 / $276.83	Professional		$109.98	$197.51	$276.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.15 / $247.86 / $494.38	Professional		$133.15	$247.86	$494.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $174.45 / $210.65 / $361.92	Professional		$174.45	$210.65	$361.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.28 / $249.20 / $342.03	Professional		$136.28	$249.20	$342.03
United Facility/Professional Professional Modifier Low / Median / High Price $201.38 / $303.63 / $380.88	Professional		$201.38	$303.63	$380.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.57 / $152.01 / $316.57	Professional		$39.57	$152.01	$316.57