Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.54 / $117.34 / $150.60	Facility		$103.54	$117.34	$150.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.19 / $150.60 / $150.60	Professional		$75.19	$150.60	$150.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $204.08 / $269.18 / $314.97	Professional		$204.08	$269.18	$314.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $150.60 / $188.25	Professional		$125.50	$150.60	$188.25
United Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $150.60 / $243.60	Professional		$52.71	$150.60	$243.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $140.56 / $227.94 / $315.61	Professional		$140.56	$227.94	$315.61