Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $309.03	Professional		$77.62	$107.15	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $56.23 / $102.33	Professional		$42.66	$56.23	$102.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $218.78	Professional		$131.83	$186.21	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $97.72 / $114.82	Professional		$89.13	$97.72	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $138.04	Professional		$50.12	$66.07	$138.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $190.55	Professional		$97.72	$125.89	$190.55