Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $234.42	Professional		$107.15	$147.91	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $257.04	Professional		$104.71	$141.25	$257.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $4,570.88	Professional		$194.98	$229.09	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $251.19	Professional		$120.23	$204.17	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $288.40	Professional		$131.83	$186.21	$288.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $158.49 / $288.40	Professional		$36.31	$158.49	$288.40