Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.17 / $132.30 / $590.00	Professional		$106.17	$132.30	$590.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.12 / $188.24 / $221.67	Professional		$96.12	$188.24	$221.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $179.42 / $224.66 / $253.41	Professional		$179.42	$224.66	$253.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.13 / $197.04 / $229.88	Professional		$169.13	$197.04	$229.88
United Facility/Professional Professional Modifier Low / Median / High Price $169.98 / $214.40 / $221.67	Professional		$169.98	$214.40	$221.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.54 / $241.37 / $435.00	Professional		$141.54	$241.37	$435.00