Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $126.11 / $189.42	Professional		$47.79	$126.11	$189.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.52 / $76.73 / $135.68	Professional		$39.52	$76.73	$135.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $142.77 / $176.53 / $216.98	Professional		$142.77	$176.53	$216.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.52 / $120.60 / $140.69	Professional		$103.52	$120.60	$140.69
United Facility/Professional Professional Modifier Low / Median / High Price $109.38 / $135.68 / $137.72	Professional		$109.38	$135.68	$137.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $147.74 / $224.98	Professional		$58.34	$147.74	$224.98