Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.63 / $154.85 / $198.73	Facility		$136.63	$154.85	$198.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.54 / $198.73 / $198.73	Professional		$109.54	$198.73	$198.73
HMSA Facility/Professional Professional Modifier Low / Median / High Price $219.67 / $289.74 / $339.03	Professional		$219.67	$289.74	$339.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.61 / $198.73 / $248.42	Professional		$165.61	$198.73	$248.42
United Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $198.73 / $262.24	Professional		$69.56	$198.73	$262.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $185.48 / $245.35 / $349.15	Professional		$185.48	$245.35	$349.15