Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.57 / $113.29 / $161.25	Professional		$94.57	$113.29	$161.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.49 / $139.99 / $184.49	Professional		$109.49	$139.99	$184.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $151.62 / $181.44 / $219.21	Professional		$151.62	$181.44	$219.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.84 / $162.35 / $206.63	Professional		$110.84	$162.35	$206.63
United Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $184.49 / $209.48	Professional		$150.54	$184.49	$209.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $120.90 / $191.67	Professional		$29.27	$120.90	$191.67