Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $218.78 / $234.42	Professional		$112.20	$218.78	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $169.82	Professional		$100.00	$100.00	$169.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $245.47 / $257.04	Professional		$213.80	$245.47	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $169.82 / $194.98	Professional		$154.88	$169.82	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $275.42	Professional		$117.49	$169.82	$275.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $354.81	Professional		$158.49	$251.19	$354.81