Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.69 / $195.71 / $251.18	Facility		$172.69	$195.71	$251.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.39 / $251.18 / $251.18	Professional		$96.39	$251.18	$251.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $214.59 / $283.02 / $331.21	Professional		$214.59	$283.02	$331.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.32 / $251.18 / $313.98	Professional		$209.32	$251.18	$313.98
United Facility/Professional Professional Modifier Low / Median / High Price $87.91 / $251.18 / $313.98	Professional		$87.91	$251.18	$313.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $261.64 / $366.31	Professional		$193.60	$261.64	$366.31