Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $115.75 / $159.90	Professional		$31.25	$115.75	$159.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.48 / $121.59 / $145.91	Professional		$95.48	$121.59	$145.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $63.96 / $187.49	Professional		$54.90	$63.96	$187.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.09 / $103.11 / $121.59	Professional		$37.09	$103.11	$121.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.22 / $121.59 / $161.63	Professional		$99.22	$121.59	$161.63
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $46.85 / $133.93	Professional		$31.11	$46.85	$133.93