Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.44 / $138.76 / $178.09	Facility		$122.44	$138.76	$178.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.10 / $178.09 / $178.09	Professional		$101.10	$178.09	$178.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $241.40 / $318.39 / $372.58	Professional		$241.40	$318.39	$372.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $178.09 / $222.62	Professional		$148.41	$178.09	$222.62
United Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $178.09 / $288.08	Professional		$62.33	$178.09	$288.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $267.55 / $373.32	Professional		$148.41	$267.55	$373.32