Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.55 / $151.36 / $194.26	Facility		$133.55	$151.36	$194.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.79 / $194.26 / $194.26	Professional		$53.79	$194.26	$194.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $144.08 / $169.51 / $189.30	Professional		$144.08	$169.51	$189.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.88 / $194.26 / $242.82	Professional		$161.88	$194.26	$242.82
United Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $194.26 / $242.82	Professional		$67.98	$194.26	$242.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $110.70 / $158.00 / $240.44	Professional		$110.70	$158.00	$240.44