Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.87 / $126.93 / $180.41	Professional		$106.87	$126.93	$180.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.79 / $152.91 / $192.38	Professional		$122.79	$152.91	$192.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $170.33 / $201.41 / $230.99	Professional		$170.33	$201.41	$230.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.50 / $169.29 / $215.46	Professional		$123.50	$169.29	$215.46
United Facility/Professional Professional Modifier Low / Median / High Price $156.97 / $192.38 / $224.04	Professional		$156.97	$192.38	$224.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $129.44 / $200.47	Professional		$29.27	$129.44	$200.47