Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $85.23 / $109.39	Facility		$75.20	$85.23	$109.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.87 / $109.39 / $109.39	Professional		$70.87	$109.39	$109.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $148.24 / $195.52 / $228.81	Professional		$148.24	$195.52	$228.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.16 / $109.39 / $136.74	Professional		$91.16	$109.39	$136.74
United Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $109.39 / $176.96	Professional		$38.29	$109.39	$176.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $102.10 / $165.57 / $229.25	Professional		$102.10	$165.57	$229.25