Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.29 / $92.58 / $385.60	Professional		$76.29	$92.58	$385.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.98 / $109.35 / $143.84	Professional		$88.98	$109.35	$143.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $39.09 / $111.31 / $126.30	Professional		$39.09	$111.31	$126.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.11 / $47.03 / $54.87	Professional		$43.11	$47.03	$54.87
United Facility/Professional Professional Modifier Low / Median / High Price $63.77 / $151.74 / $151.74	Professional		$63.77	$151.74	$151.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.26 / $54.07 / $157.04	Professional		$31.26	$54.07	$157.04